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General NPI Number Information
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NPI Number | 1316018161
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Entity Type | Organization
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Legal Business Name | IMAGINEX P C
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 720 N LINCOLN ST DECATUR COUNTY MEMORIAL HOSPITAL, ATTN: RADIOLOGY DEPT
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City | GREENSBURG
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State | IN
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Zip | 47240-1327
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Country | US
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Telephone | 812-663-1248
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Fax | 812-663-1233
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Provider Business Mailing Address
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Address Line | 1428 EAST STATE ROAD 46
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City | GREENSBURG
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State | IN
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Zip | 47240
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Country | US
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Telephone | 812-663-1248
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Fax | 812-662-8283
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARBARA ELAINE TAYLOR
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Credential | MD
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Telephone | 812-663-1248
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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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