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General NPI Number Information
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NPI Number | 1174526420
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Entity Type | Organization
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Legal Business Name | ALLIED MOBILE X-RAY INC
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 8360 W FLAGLER ST STE 207
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City | MIAMI
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State | FL
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Zip | 33144-2042
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Country | US
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Telephone | 305-220-0333
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Fax | 305-554-9339
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Provider Business Mailing Address
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Address Line | 8360 W FLAGLER ST STE 207
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City | MIAMI
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State | FL
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Zip | 33144-2042
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Country | US
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Telephone | 305-220-0333
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Fax | 305-554-9339
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. AARON WHITMAN
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Credential |
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Telephone | 305-220-0333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | AI307
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License Number State | FL
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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 | HCC7462
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License Number State | FL
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