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General NPI Number Information
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NPI Number | 1154691715
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Entity Type | Organization
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Legal Business Name | JHL IMAGING SERVICES LLC
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 1836 BALLYBUNION DR
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City | JOHNS CREEK
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State | GA
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Zip | 30097-2081
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Country | US
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Telephone | 678-243-0581
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 941551
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City | MIAMI
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State | FL
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Zip | 33194-1551
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Country | US
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Telephone | 678-243-0581
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Fax |
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Authorized Official
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Title or Position | OPERATIONS
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Name | MR. DAVID LAWSON
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Credential |
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Telephone | 678-243-0581
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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