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General NPI Number Information
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NPI Number | 1174017743
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Entity Type | Organization
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Legal Business Name | NATIONAL MEDICAL PROVIDERS LLC
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 11564 PUERTO BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-4028
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Country | US
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Telephone | 561-413-9123
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Fax |
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Provider Business Mailing Address
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Address Line | 11564 PUERTO BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-4028
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Country | US
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Telephone | 561-413-9123
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Fax |
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Authorized Official
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Title or Position | VP
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Name | ALAN C. SENS
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Credential |
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Telephone | 561-413-9123
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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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