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General NPI Number Information
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NPI Number | 1225114135
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Entity Type | Organization
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Legal Business Name | SUNCOAST DIAGNOSTIC IMAGING INC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1821 BEL AIR AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33062-7672
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Country | US
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Telephone | 954-473-1363
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Fax | 954-382-2136
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Provider Business Mailing Address
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Address Line | 1821 BEL AIR AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33062-7672
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Country | US
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Telephone | 954-473-1363
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Fax | 954-382-2136
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. GUY WILLIAM AZZINARO
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Credential | RDMS RVT RDCS
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Telephone | 954-473-1363
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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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