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General NPI Number Information
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NPI Number | 1235622002
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Entity Type | Organization
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Legal Business Name | INSIGHT MEDICAL SOLUTIONS INC
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 03/08/2019
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Provider Practice Location Address
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Address Line | 206 BOOTS ROAD
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City | FARMERVILLE
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State | LA
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Zip | 71241
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Country | US
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Telephone | 318-620-0467
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Fax | 318-620-0469
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Provider Business Mailing Address
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Address Line | 206 BOOTS DRIVE
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City | FARMERVILLE
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State | LA
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Zip | 71241
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Country | US
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Telephone | 318-498-2916
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFF COMBETTA
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Credential | MD
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Telephone | 318-620-0467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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