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General NPI Number Information
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NPI Number | 1174604334
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Entity Type | Organization
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Legal Business Name | ADVANCED RADIOLOGIC PHYSICIANS, INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 950 W. WOOSTER ST.
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2603
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Country | US
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Telephone | 419-354-8960
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Fax | 419-354-8957
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Provider Business Mailing Address
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Address Line | 3455 MILL RUN DR. SUITE 450
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City | HILLIARD
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State | OH
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Zip | 43026-9083
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Country | US
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Telephone | 614-771-2229
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Fax | 614-771-2248
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK A. GUSTINE
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Credential | MD
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Telephone | 419-354-8960
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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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