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General NPI Number Information
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NPI Number | 1093718496
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Entity Type | Organization
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Legal Business Name | RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 3525 OLENTANGY RIVER RD STE 5360
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City | COLUMBUS
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State | OH
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Zip | 43214-3937
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Country | US
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Telephone | 614-340-7747
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Fax | 614-340-7742
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Provider Business Mailing Address
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Address Line | 100 E CAMPUS VIEW BLVD STE 160
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City | COLUMBUS
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State | OH
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Zip | 43235-8634
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Country | US
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Telephone | 614-396-4750
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Fax | 614-396-4742
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Authorized Official
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Title or Position | CFO
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Name | JIMMY DADO
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Credential |
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Telephone | 614-325-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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