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General NPI Number Information
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NPI Number | 1093735953
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Entity Type | Individual
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Provider Name | JENNIFER M. DIMOVSKI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 700 E MOREHEAD ST STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28202-2788
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Country | US
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Telephone | 704-334-7800
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Fax | 704-414-7512
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Provider Business Mailing Address
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Address Line | 700 E MOREHEAD ST STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28202-2788
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Country | US
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Telephone | 704-334-7800
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Fax | 704-414-7512
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 30318
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101239598
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2007-01214
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0061908
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD33248
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 71488
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME119497
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 47489
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License Number State | KY
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