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General NPI Number Information
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NPI Number | 1083908768
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Entity Type | Organization
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Legal Business Name | NEXRAY MEDICAL IMANGING,PC.
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 6555 WOODHAVEN BLVD
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City | REGO PARK
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State | NY
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Zip | 11374-5048
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Country | US
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Telephone | 718-459-9500
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Fax | 718-459-9509
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Provider Business Mailing Address
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Address Line | 6555 WOODHAVEN BLVD
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City | REGO PARK
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State | NY
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Zip | 11374-5048
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Country | US
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Telephone | 718-459-9500
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Fax | 718-459-9509
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. WILLIAM ALAN WEINER
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Credential | D.O.
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Telephone | 718-459-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 179573-2
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 179573-2
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License Number State | NY
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