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General NPI Number Information
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NPI Number | 1144592759
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Entity Type | Organization
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Legal Business Name | DMC IMAGING LLC
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 5130 LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6596
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Country | US
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Telephone | 561-637-5300
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Fax | 561-495-3103
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Provider Business Mailing Address
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Address Line | 5352 LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6514
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Country | US
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Telephone | 561-495-3100
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Fax | 561-495-3103
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Authorized Official
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Title or Position | SVP OF OUTPATIENT SERVICES, TENET
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Name | MR. MICHAEL KYLE BURTNETT
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Credential |
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Telephone | 469-893-2153
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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 |
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License Number State |
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