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General NPI Number Information
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NPI Number | 1205289675
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Entity Type | Organization
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Legal Business Name | REGAL DIAGNOSTICS LLC
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 395 PEARSALL AVE UNIT D
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City | CEDARHURST
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State | NY
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Zip | 11516-1828
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Country | US
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Telephone | 718-717-5266
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Fax | 516-612-4883
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Provider Business Mailing Address
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Address Line | 395 PEARSALL AVE UNIT D
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City | CEDARHURST
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State | NY
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Zip | 11516-1828
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Country | US
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Telephone | 718-717-5266
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Fax | 516-612-4883
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Authorized Official
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Title or Position | CFO
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Name | DOVI FAIVISH
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Credential |
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Telephone | 516-612-4884
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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 |
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License Number State |
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