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General NPI Number Information
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NPI Number | 1295908218
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Entity Type | Organization
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Legal Business Name | NU TECH IMAGING, INC.
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 4661 JOHNSON RD SUITE 4
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4363
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Country | US
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Telephone | 954-571-7707
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Fax |
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Provider Business Mailing Address
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Address Line | 6574 N STATE ROAD 7 SUITE 177
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3625
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Country | US
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Telephone | 954-571-7707
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Fax | 954-571-8801
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS TANIA SOPHI ADAMS
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Credential | D.C.
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Telephone | 954-571-7707
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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 | CH7908
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License Number State | FL
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