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General NPI Number Information
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NPI Number | 1144459074
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Entity Type | Organization
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Legal Business Name | JINGLING MEDSCAN INC
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 101 MOSELLE LN
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City | SAINT JOHNS
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State | FL
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Zip | 32259-8015
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Country | US
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Telephone | 904-823-9818
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Fax | 904-823-9818
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Provider Business Mailing Address
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Address Line | 101 MOSELLE LN
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City | SAINT JOHNS
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State | FL
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Zip | 32259-8015
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Country | US
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Telephone | 904-823-9818
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Fax | 904-823-9818
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LING FEI WANG
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Credential |
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Telephone | 904-823-9818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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