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General NPI Number Information
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NPI Number | 1265638894
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Entity Type | Organization
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Legal Business Name | ONSITE DIAGNOSTICS OF AMERICA, INC
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | 7501 W OAKLAND PARK BLVD SUITE 305
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City | TAMARAC
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State | FL
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Zip | 33319-4982
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Country | US
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Telephone | 954-749-2800
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Fax | 954-749-2890
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Provider Business Mailing Address
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Address Line | 7501 W OAKLAND PARK BLVD SUITE 305
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City | TAMARAC
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State | FL
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Zip | 33319-4982
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Country | US
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Telephone | 954-749-2800
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Fax | 954-749-2890
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARLAN HALLMAN
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Credential | LMT
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Telephone | 954-749-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471V0106X
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Taxonomy Name | Vascular-Interventional Technology Radiologic Technologist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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