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General NPI Number Information
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NPI Number | 1285833012
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Entity Type | Organization
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Legal Business Name | FGMX IMAGING SERVICES PLC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 1002 S LINCOLN ST
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City | KNOXVILLE
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State | IA
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Zip | 50138-3121
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Country | US
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Telephone | 641-842-2151
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2400
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City | WATERLOO
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State | IA
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Zip | 50704-2400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DO
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Name | FRED MARGOLIN
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Credential |
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Telephone | 319-233-3044
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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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