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General NPI Number Information
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NPI Number | 1184092009
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Entity Type | Organization
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Legal Business Name | MOBILE IMAGES OF KENTUCKY LLC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 517 N MAPLE ST
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City | WINCHESTER
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State | KY
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Zip | 40391-1475
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Country | US
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Telephone | 800-232-5756
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Fax | 888-405-0653
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Provider Business Mailing Address
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Address Line | 517 N MAPLE ST
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City | WINCHESTER
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State | KY
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Zip | 40391-1475
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Country | US
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Telephone | 800-232-5756
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Fax | 888-405-0653
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Authorized Official
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Title or Position | CEO
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Name | RICK MERCHANT
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Credential |
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Telephone | 423-667-4691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | K193520
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License Number State | KY
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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 |
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License Number State | KY
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