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General NPI Number Information
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NPI Number | 1144241985
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Entity Type | Organization
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Legal Business Name | VANDERBILT IMAGING SERVICES, LLC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 1909 ACKLEN AVE
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City | NASHVILLE
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State | TN
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Zip | 37212-3713
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Country | US
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Telephone | 615-777-9729
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Fax | 615-777-9733
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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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 | MANAGING EMPLOYEE
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Name | KAREN MUNYON
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Credential |
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Telephone | 615-936-6001
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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 | ODC0000000013
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License Number State | TN
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