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General NPI Number Information
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NPI Number | 1174884050
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC & NEURO IMAGING LLC
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 400 EASTERN SHORE DR SUITE 104
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City | SALISBURY
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State | MD
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Zip | 21804-5513
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Country | US
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Telephone | 410-394-8424
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Fax | 410-394-8414
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Provider Business Mailing Address
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Address Line | 400 EASTERN SHORE DRIVE SUITE 104
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City | SALISBURY
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State | MD
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Zip | 21803-0049
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Country | US
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Telephone | 410-394-8424
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Fax | 410-394-8414
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Authorized Official
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Title or Position | MEDICAL SUPERVISOR
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Name | LAWRENCE YAO
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Credential | M.D.
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Telephone | 410-394-8424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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