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General NPI Number Information
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NPI Number | 1144059254
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Entity Type | Organization
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Legal Business Name | APEX IMAGING LLC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1289 SW STATE ROAD 47
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City | LAKE CITY
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State | FL
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Zip | 32025-0484
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Country | US
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Telephone | 386-866-9729
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Fax |
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Provider Business Mailing Address
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Address Line | 1289 SW STATE ROAD 47
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City | LAKE CITY
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State | FL
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Zip | 32025-0484
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER GOOLSBY WATSON
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Credential |
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Telephone | 386-866-9729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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