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General NPI Number Information
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NPI Number | 1265315113
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Entity Type | Organization
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Legal Business Name | CAPITOL RADIOLOGY, LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | CAPITAL RADIOLOGY, LLC 7350 VAN DUSEN RD., STE. B10
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City | LAUREL
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State | MD
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Zip | 20707-5266
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Country | US
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Telephone | 301-725-8968
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Fax | 301-725-8968
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Provider Business Mailing Address
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Address Line | PO BOX 1644
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City | EVANSVILLE
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State | IN
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Zip | 47706-0045
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Country | US
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Telephone | 812-759-8271
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Fax | 812-759-0636
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | DORIANN THOMAS
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Credential | MD
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Telephone | 301-725-5398
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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 |
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License Number State |
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