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General NPI Number Information
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NPI Number | 1184053001
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Entity Type | Organization
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Legal Business Name | JHL IMAGING SERVICES OF CONNECTICUT LLC
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 300 SOUND BEACH AVE
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1625
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Country | US
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Telephone | 203-637-4849
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 941551
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City | MIAMI
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State | FL
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Zip | 33194-1551
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Country | US
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Telephone | 954-473-5213
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Fax |
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | DAVID LAWSON
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Credential |
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Telephone | 203-637-4849
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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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