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General NPI Number Information
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NPI Number | 1285717058
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Entity Type | Organization
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Legal Business Name | B.L. X-RAY CORP.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 2720 SW 97 AVE STE# 101 B.L.X.-RAY, CORP.
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 305-573-9884
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Fax | 305-573-9662
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Provider Business Mailing Address
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Address Line | 2125 BISCAYNE BLVD STE 590 B.L.X.-RAY, CORP.
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City | MIAMI
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State | FL
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Zip | 33137-5030
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Country | US
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Telephone | 305-222-1728
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Fax | 305-222-1729
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Authorized Official
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Title or Position | PRESIDENT OF CO
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Name | MRS. KENIA SANCHEZ
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Credential |
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Telephone | 305-222-1728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC5240
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License Number State | FL
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