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General NPI Number Information
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NPI Number | 1225823701
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Entity Type | Organization
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Legal Business Name | MADISON DIAGNOSTIC GROUP LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1775 EYE ST NW
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City | WASHINGTON
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State | DC
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Zip | 20006-2402
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Country | US
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Telephone | 202-851-5470
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Fax |
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Provider Business Mailing Address
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Address Line | 1775 EYE ST NW STE 1150
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City | WASHINGTON
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State | DC
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Zip | 20006-2435
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Country | US
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Telephone | 202-851-5470
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STEFANIE JONES
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Credential |
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Telephone | 202-851-5470
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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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