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General NPI Number Information
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NPI Number | 1114799376
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Entity Type | Organization
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Legal Business Name | RADIOLOGY IMAGING SPECIALISTS LLC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2013 MICCOSUKEE RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5307
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Country | US
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Telephone | 448-206-1280
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Fax | 888-978-5541
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Provider Business Mailing Address
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Address Line | 11050 LAKE UNDERHILL RD # 865394
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City | ORLANDO
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State | FL
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Zip | 32825-5016
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Country | US
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Telephone | 352-274-9565
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Fax | 888-978-5541
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Authorized Official
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Title or Position | OWNER
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Name | CHINTAN DESAI
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Credential | MD
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Telephone | 352-274-9565
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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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