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General NPI Number Information
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NPI Number | 1265619654
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Entity Type | Organization
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Legal Business Name | GUN HILL MRI
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 5500 BROADWAY SUITE 102
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City | BRONX
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State | NY
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Zip | 10463-5203
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Country | US
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Telephone | 718-920-6528
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 BROADWAY SUITE 102
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City | BRONX
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State | NY
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Zip | 10463-5203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER SERVICES & NET
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Name | MICHAEL G. DOWLING
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Credential |
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Telephone | 914-377-4688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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