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General NPI Number Information
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NPI Number | 1124092721
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Entity Type | Organization
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Legal Business Name | CENTRAL KENTUCKY COMPREHENSIVE IMAGING AND DIAGNOSTIC SERVICES LLC
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 225 CHURCH ST
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City | PIKEVILLE
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State | KY
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Zip | 41501-3217
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Country | US
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Telephone | 606-437-2200
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Fax | 606-437-2450
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Provider Business Mailing Address
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Address Line | PO BOX 697
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City | HAZARD
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State | KY
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Zip | 41702-0697
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Country | US
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Telephone | 606-439-2662
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Fax | 606-439-0612
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASHOK PATEL
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Credential | M.D.
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Telephone | 606-437-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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