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General NPI Number Information
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NPI Number | 1285317412
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Entity Type | Organization
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Legal Business Name | CHOICEONE DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 285 MOCKS CREEK DR
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City | DANVILLE
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State | KY
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Zip | 40422-9255
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Country | US
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Telephone | 859-583-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 2081 HARRODSBURG RD # 1046
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City | LEXINGTON
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State | KY
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Zip | 40504-3503
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Country | US
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Telephone | 859-379-4360
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | GEORGE RUGGLES
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Credential |
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Telephone | 859-379-4360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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