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General NPI Number Information
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NPI Number | 1184694085
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Entity Type | Organization
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Legal Business Name | VIRTUAL IMAGING SERVICES, INC
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 7101 SW 99TH AVE
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City | MIAMI
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State | FL
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Zip | 33173-4661
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Country | US
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Telephone | 305-596-9992
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Fax | 305-596-0942
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Provider Business Mailing Address
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Address Line | 7101 SW 99TH AVE
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City | MIAMI
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State | FL
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Zip | 33173-4661
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Country | US
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Telephone | 305-596-9992
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Fax | 305-596-0942
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUAN F PUIG
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Credential |
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Telephone | 305-596-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | HCC3865
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License Number State | FL
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