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General NPI Number Information
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NPI Number | 1245754035
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Entity Type | Organization
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Legal Business Name | RADIOLOGY PHYSICIAN SOLUTIONS OF INDIANA PC
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 3901 S 7TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47802-5709
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Country | US
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Telephone | 800-437-2672
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Fax | 954-851-1746
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Provider Business Mailing Address
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Address Line | 7700 WEST SUNRISE BLVD 2ND FLOOR MAILSTOP - PL-14
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City | PLANTATION
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State | FL
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Zip | 33322-4113
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Country | US
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Telephone | 954-838-2371
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Fax | 954-851-1746
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Authorized Official
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Title or Position | OFFICER
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Name | DR. GILBERT L DROZDOW
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Credential | MD
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #2
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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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