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General NPI Number Information
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NPI Number | 1144781451
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Entity Type | Organization
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Legal Business Name | SURGICAL INSTITUTE OF READING LLC
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 2752 CENTURY BLVD
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City | WYOMISSING
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State | PA
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Zip | 19610-3345
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Country | US
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Telephone | 610-378-8833
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Fax | 610-372-7429
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Provider Business Mailing Address
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Address Line | 2752 CENTURY BLVD
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City | WYOMISSING
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State | PA
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Zip | 19610-3345
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Country | US
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Telephone | 610-378-8810
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Fax | 610-372-7429
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Authorized Official
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Title or Position | OFFICER / AUTHORIZED OFFICIAL
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Name | JONATHAN BAILEY
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Credential |
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Telephone | 203-609-1168
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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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