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General NPI Number Information
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NPI Number | 1235182502
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Entity Type | Organization
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Legal Business Name | COVINGTON IMAGING CENTER
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 580 W BYPASS
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City | ANDALUSIA
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State | AL
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Zip | 36420-4729
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Country | US
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Telephone | 334-222-1151
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Fax | 334-222-1191
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Provider Business Mailing Address
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Address Line | 17423 COUNTY ROAD 48
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City | ROBERTSDALE
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State | AL
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Zip | 36567-3779
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Country | US
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Telephone | 334-222-1151
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Fax | 334-222-1191
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARK E SWIGERT
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Credential |
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Telephone | 251-377-3655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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