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General NPI Number Information
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NPI Number | 1154439800
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Entity Type | Organization
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Legal Business Name | WATKINS-TSAI IMAGING CENTER LLC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 205 MARION PIKE
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City | COAL GROVE
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State | OH
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Zip | 45638
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Country | US
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Telephone | 740-532-6131
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Fax | 740-532-6082
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Provider Business Mailing Address
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Address Line | 205 MARION PIKE
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City | COAL GROVE
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State | OH
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Zip | 45638
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Country | US
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Telephone | 740-532-6131
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Fax | 740-532-6082
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MRS. RUEY JY TSAI
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Credential |
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Telephone | 740-532-6131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number | 11331C
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License Number State | OH
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