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General NPI Number Information
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NPI Number | 1205669538
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Entity Type | Organization
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Legal Business Name | WE SCAN DIAGNOSTICS LLC
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Dates
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Enumeration Date | 08/22/2024
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 110 E PARK AVE
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City | CHIEFLAND
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State | FL
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Zip | 32626-0901
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Country | US
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Telephone | 352-425-9846
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Fax |
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Provider Business Mailing Address
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Address Line | 382 NE 191ST ST # 455710
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE MALLEY
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Credential |
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Telephone | 352-423-9846
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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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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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