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General NPI Number Information
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NPI Number | 1093913543
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Entity Type | Organization
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Legal Business Name | ASSOCIATED RADIOLOGISTS OF INVERNESS PA
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 01/11/2015
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Provider Practice Location Address
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Address Line | 502 W HIGHLAND BLVD
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City | INVERNESS
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State | FL
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Zip | 34452-4720
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Country | US
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Telephone | 352-344-6481
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 N ACCESS RD SUITE D
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City | CHATTANOOGA
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State | TN
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Zip | 37415-3812
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Country | US
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Telephone | 423-826-1276
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Fax | 423-826-1290
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS CEBALLOS
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Credential | MD
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Telephone | 810-230-9215
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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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