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General NPI Number Information
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NPI Number | 1164652541
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Entity Type | Organization
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Legal Business Name | GREENSBORO RADIOLOGY, PA
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 2630 WILLARD DAIRY RD
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City | HIGH POINT
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State | NC
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Zip | 27265-8118
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Country | US
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Telephone | 336-625-5151
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Fax | 336-482-2177
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Provider Business Mailing Address
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Address Line | PO BOX 63112
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City | CHARLOTTE
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State | NC
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Zip | 28263-3112
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Country | US
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Telephone | 336-274-4285
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Fax | 336-482-2177
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SHARLEE LEBLEU
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Credential |
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Telephone | 480-321-7026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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