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General NPI Number Information
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NPI Number | 1275734626
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Entity Type | Organization
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Legal Business Name | MIDTOWN DIAGNOSTICS LLC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1215 S EAST AVE SUITE 105
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City | SARASOTA
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State | FL
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Zip | 34239-2342
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Country | US
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Telephone | 941-954-4030
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Fax | 941-955-3282
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Provider Business Mailing Address
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Address Line | 1215 S EAST AVE SUITE 105
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City | SARASOTA
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State | FL
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Zip | 34239-2342
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Country | US
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Telephone | 941-954-4030
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Fax | 941-955-3282
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Authorized Official
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Title or Position | VP
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Name | MR. ROBERT S HANKINS JR.
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Credential |
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Telephone | 615-344-8203
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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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