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General NPI Number Information
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NPI Number | 1154660447
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Entity Type | Organization
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Legal Business Name | BPM IMAGING LLC
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 1650 SAND LAKE RD SUITE 105
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City | ORLANDO
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State | FL
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Zip | 32809-7681
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Country | US
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Telephone | 407-966-3430
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 SAND LAKE RD SUITE 105
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City | ORLANDO
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State | FL
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Zip | 32809-7681
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CATHLEEN CIUBA
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Credential | RDMS
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Telephone | 407-966-3430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 94420
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License Number State | PA
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