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General NPI Number Information
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NPI Number | 1245245984
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Entity Type | Organization
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Legal Business Name | BECKLEY MEDICAL IMAGING INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 306 STANAFORD RD
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City | BECKLEY
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State | WV
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Zip | 25801-3142
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Country | US
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Telephone | 304-255-0419
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Fax | 304-645-4713
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Provider Business Mailing Address
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Address Line | PO BOX 941
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City | BECKLEY
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State | WV
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Zip | 25802-0941
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Country | US
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Telephone | 304-255-0419
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Fax | 304-645-4713
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BHARAT P PATEL
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Credential | MD
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Telephone | 304-645-4043
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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 | 18661
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License Number State | WV
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