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General NPI Number Information
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NPI Number | 1306654850
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Entity Type | Organization
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Legal Business Name | INFRARAD PLLC
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 321 S EISENHOWER DR
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City | BECKLEY
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State | WV
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Zip | 25801-5849
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Country | US
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Telephone | 917-957-3294
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Fax |
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Provider Business Mailing Address
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Address Line | 14964 SPRINGVIEW RDG
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City | BRISTOL
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State | VA
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Zip | 24202-4567
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Country | US
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Telephone | 276-644-8233
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QASIM ALI RAO
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Credential | MD
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Telephone | 276-644-8233
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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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