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General NPI Number Information
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NPI Number | 1164413290
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Entity Type | Organization
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Legal Business Name | TAAVI MERI
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 12512 MONTARA DR
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City | LARGO
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State | FL
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Zip | 33773-2916
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Country | US
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Telephone | 941-284-7164
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Fax | 877-972-9327
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Provider Business Mailing Address
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Address Line | PO BOX 4992
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City | SEMINOLE
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State | FL
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Zip | 33775-4992
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Country | US
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Telephone | 941-284-7164
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Fax | 877-972-9327
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Authorized Official
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Title or Position | OWNER
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Name | TAAVI MERI
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Credential |
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Telephone | 941-284-7164
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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 | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 18
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License Number State | FL
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