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General NPI Number Information
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NPI Number | 1316083595
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Entity Type | Organization
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Legal Business Name | PHYSICIAN'S MOBILE X-RAY, INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 945 E PARK DR STE 102
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City | HARRISBURG
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State | PA
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Zip | 17111-2804
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Country | US
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Telephone | 717-561-4940
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Fax | 717-561-4999
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Provider Business Mailing Address
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Address Line | 6310 ALLENTOWN BLVD STE 102
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City | HARRISBURG
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State | PA
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Zip | 17112-2739
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Country | US
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Telephone | 717-561-4940
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Fax | 717-561-4999
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Authorized Official
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Title or Position | CEO
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Name | MR. TODD GELBAUGH
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Credential |
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Telephone | 717-561-4940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State | PA
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