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General NPI Number Information
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NPI Number | 1093609414
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Entity Type | Organization
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Legal Business Name | OHIO ADVANCED IMAGING MEDICAL, P.C.
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1111B S GOVERNORS AVE STE 34451
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City | DOVER
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State | DE
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Zip | 19904-6903
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Country | US
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Telephone | 614-756-2892
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Fax |
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Provider Business Mailing Address
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Address Line | 1111B S GOVERNORS AVE STE 34451
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City | DOVER
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State | DE
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Zip | 19904-6903
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | JEFFREY WARONKER
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Credential |
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Telephone | 614-756-2892
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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 |
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License Number State |
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