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General NPI Number Information
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NPI Number | 1144557968
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Entity Type | Organization
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Legal Business Name | DIGITAL DIAGNOSTICS INC.
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 1500 MARKET ST SUITE 1012, 12TH FLOOR, EAST TOWER
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2100
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Country | US
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Telephone | 914-450-6238
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 BELMAR BLVD
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City | WALL
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State | NJ
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Zip | 07719-4167
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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 | PRESIDENT
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Name | MR. THOMAS JOHN CORNEY SR.
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Credential |
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Telephone | 914-450-6238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 356987
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License Number State | PA
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