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General NPI Number Information
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NPI Number | 1225529258
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Entity Type | Organization
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Legal Business Name | PRECISION RADIOLOGY LLC
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 510 SYLVAN AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3057
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Country | US
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Telephone | 201-299-6343
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Fax | 888-884-7606
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Provider Business Mailing Address
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Address Line | 510 SYLVAN AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3057
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Country | US
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Telephone | 888-884-7606
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Fax | 888-884-7606
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Authorized Official
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Title or Position | MEMBER
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Name | DEVI TSITSOUACHVILI
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Credential |
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Telephone | 201-299-6343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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