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General NPI Number Information
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NPI Number | 1144649765
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Entity Type | Organization
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Legal Business Name | METROPOLITAN SOUND IMAGING INC.
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 66 CLIFF RD
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-1033
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Country | US
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Telephone | 631-406-4210
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Fax | 631-406-4202
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Provider Business Mailing Address
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Address Line | 544 JEFFERSON PLZ #22
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-5001
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Country | US
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Telephone | 631-406-4210
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Fax | 631-406-4202
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | MR. JAMIE ARTHUR KIRCHER SR.
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Credential | RT
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Telephone | 631-406-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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