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General NPI Number Information
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NPI Number | 1104855402
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOCIATES A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 1888 HUDSON CIR STE 2
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City | MONROE
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State | LA
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Zip | 71201-3546
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Country | US
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Telephone | 318-387-3453
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Fax | 318-323-9045
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Provider Business Mailing Address
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Address Line | 1888 HUDSON CIR STE 2
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City | MONROE
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State | LA
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Zip | 71201-3546
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Country | US
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Telephone | 318-387-3453
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Fax | 318-323-9045
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT HALSELL
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Credential | M.D.
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Telephone | 318-387-3453
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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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