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General NPI Number Information
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NPI Number | 1164665931
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Entity Type | Organization
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Legal Business Name | CLEARVIEW DIAGNOSTIC IMAGING, LLC
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 3601 CCI DR NW
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City | HUNTSVILLE
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State | AL
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Zip | 35805-2606
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Country | US
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Telephone | 256-705-4294
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 CCI DR NW
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City | HUNTSVILLE
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State | AL
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Zip | 35805-2606
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Country | US
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Telephone | 256-705-4294
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Fax | 256-327-9215
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARSHALL SCHREEDER
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Credential | M.D.
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Telephone | 256-705-4294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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