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General NPI Number Information
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NPI Number | 1245376581
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Entity Type | Organization
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Legal Business Name | RADIOGRAPHICS, INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 2135 HILLSHIRE CIR
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City | MEMPHIS
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State | TN
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Zip | 38133-6074
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Country | US
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Telephone | 901-382-4175
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Fax | 901-382-2929
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Provider Business Mailing Address
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Address Line | 2135 HILLSHIRE CIR
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City | MEMPHIS
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State | TN
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Zip | 38133-6074
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Country | US
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Telephone | 901-382-4175
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Fax | 901-382-2929
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | GLENN LEE JOHNSON
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Credential | R.T.
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Telephone | 901-382-4175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State | TN
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