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General NPI Number Information
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NPI Number | 1275845315
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Entity Type | Organization
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Legal Business Name | JUBER IMAGING INC
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 4995 NW 72ND AVE SUITE 303 A
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City | MIAMI
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State | FL
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Zip | 33166-5643
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Country | US
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Telephone | 305-406-2131
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Fax | 305-406-2132
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Provider Business Mailing Address
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Address Line | 4995 NW 72ND AVE SUITE 303 A
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City | MIAMI
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State | FL
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Zip | 33166-5643
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Country | US
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Telephone | 305-406-2131
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Fax | 305-406-2132
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Authorized Official
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Title or Position | ARRT (PRESIDENT )
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Name | JULIAN MOREDA
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Credential |
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Telephone | 305-338-0298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | CRT69923
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License Number State | FL
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