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General NPI Number Information
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NPI Number | 1215756291
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Entity Type | Organization
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Legal Business Name | PRECISION MEDICAL IMAGING, LLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 2374 VILLAGE COMMON DR STE 100
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City | ERIE
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State | PA
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Zip | 16506-7201
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Country | US
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Telephone | 814-528-5034
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Fax | 814-528-5024
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Provider Business Mailing Address
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Address Line | 2374 VILLAGE COMMON DR STE 100
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City | ERIE
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State | PA
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Zip | 16506-7201
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Country | US
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Telephone | 814-528-5034
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Fax | 814-528-5024
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD MATTHEW ZIMM
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Credential |
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Telephone | 814-450-6794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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