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General NPI Number Information
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NPI Number | 1093278467
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Entity Type | Organization
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Legal Business Name | AMERICA DIAGNOSTIC INC
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 100 E LINTON BLVD STE 204A
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3336
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Country | US
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Telephone | 561-808-9779
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Fax |
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Provider Business Mailing Address
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Address Line | 1802 BANYAN CREEK CIR N
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4622
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Country | US
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Telephone | 561-808-9779
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JAMES LUIDOR
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Credential | BUSINESS MANGEMENT
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Telephone | 561-808-9779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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