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General NPI Number Information
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NPI Number | 1215969407
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Entity Type | Organization
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Legal Business Name | RADIOLOGY CONSULTANTS PC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 11902 W CENTER RD STE 200
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City | OMAHA
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State | NE
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Zip | 68144-4326
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Country | US
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Telephone | 402-398-6198
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4460
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City | OMAHA
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State | NE
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Zip | 68104
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Country | US
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Telephone | 866-491-5807
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Fax | 913-491-0411
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHIRLEANE LANGE
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Credential |
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Telephone | 402-597-8775
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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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