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General NPI Number Information
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NPI Number | 1144562612
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Entity Type | Organization
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Legal Business Name | JL X RAY OPTIONS, INC
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 03/16/2018
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Provider Practice Location Address
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Address Line | 10340 NW 36TH CT
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City | MIAMI
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State | FL
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Zip | 33147-1036
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Country | US
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Telephone | 305-884-2986
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Fax | 866-653-0317
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Provider Business Mailing Address
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Address Line | 10340 NW 36TH CT
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City | MIAMI
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State | FL
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Zip | 33147-1036
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Country | US
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Telephone | 305-884-2986
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Fax | 866-653-0317
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Authorized Official
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Title or Position | OWNER
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Name | LISANDRA BORGES
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Credential | LMT-BMO
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Telephone | 305-884-2986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | HCC9938
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | HCC9938
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License Number State | FL
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