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General NPI Number Information
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NPI Number | 1093779621
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Entity Type | Organization
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Legal Business Name | WAYNE RADIOLOGISTS, P.A.
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 2700 MEDICAL OFFICE PL
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City | GOLDSBORO
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State | NC
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Zip | 27534-9460
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Country | US
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Telephone | 919-736-5300
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Fax | 919-736-1804
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Provider Business Mailing Address
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Address Line | 2700 MEDICAL OFFICE PL
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City | GOLDSBORO
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State | NC
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Zip | 27534-9460
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Country | US
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Telephone | 919-736-5300
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Fax | 919-736-1804
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. JESSICA L BYRD
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Credential |
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Telephone | 919-736-5315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 39524
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License Number State | NC
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