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General NPI Number Information
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NPI Number | 1093375032
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Entity Type | Organization
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Legal Business Name | GLOBAL DIAGNOSTIC SERVICES, INC.
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 2066 EASTSIDE DR
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City | CONYERS
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State | GA
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Zip | 30013-1961
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Country | US
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Telephone | 770-602-0502
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Fax | 678-750-1601
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Provider Business Mailing Address
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Address Line | PO BOX 83526
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City | CONYERS
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State | GA
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Zip | 30013-9446
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Country | US
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Telephone | 770-602-0502
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Fax | 678-750-1601
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA B UPSHAW
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Credential |
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Telephone | 770-602-0502
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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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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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