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NPI 1225263767

NPI 1225263767 : PIN POINT RADIOLOGY PRACTICE GROUP, PA : HUDSON, OH

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General NPI Number Information
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    NPI Number           |    1225263767
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    Entity Type          |    Organization 
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    Legal Business Name  |    PIN POINT RADIOLOGY PRACTICE GROUP, PA 
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Dates
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    Enumeration Date     |    05/28/2009
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    Last Update Date     |    01/30/2019
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Provider Practice Location Address
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    Address Line         |    5655 HUDSON DRIVE SUITE 210
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    City                 |    HUDSON
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    State                |    OH
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    Zip                  |    44236
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    Country              |    US
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    Telephone            |    330-655-3800
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    Fax                  |    330-655-3828
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Provider Business Mailing Address
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    Address Line         |    5655 HUDSON DRIVE SUITE 210
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    City                 |    HUDSON
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    State                |    OH
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    Zip                  |    44236
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    Country              |    US
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    Telephone            |    330-655-3800
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    Fax                  |    330-655-3828
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |    DR. WILLIAM  PHILLIPS 
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    Credential           |    MD
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    Telephone            |    330-655-3800
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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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