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General NPI Number Information
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NPI Number | 1134179989
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Entity Type | Organization
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Legal Business Name | DOCTORS IMAGING GROUP LLC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 6716 NW 11TH PL STE 200
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City | GAINESVILLE
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State | FL
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Zip | 32605-4201
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Country | US
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Telephone | 352-331-9729
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Fax | 352-331-0136
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Provider Business Mailing Address
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Address Line | 6716 NW 11TH PLACE STE 200
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City | GAINESVILLE
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State | FL
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Zip | 32605-4215
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Country | US
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Telephone | 352-331-9729
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Fax | 352-331-0136
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAN E WARE
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Credential | M.D.
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Telephone | 352-331-9729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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Taxonomy #6
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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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