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General NPI Number Information
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NPI Number | 1316302094
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Entity Type | Organization
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Legal Business Name | VISION MOBILE DIAGNOSTICS
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 7321 NEW LA GRANGE RD SUITE 112
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City | LOUISVILLE
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State | KY
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Zip | 40222-4800
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Country | US
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Telephone | 423-480-4087
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Fax |
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Provider Business Mailing Address
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Address Line | 3011 HARRAH DR
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City | SPRING HILL
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State | TN
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Zip | 37174-6252
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Country | US
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Telephone | 423-480-4087
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LLOYD WILLIAMS
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Credential |
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Telephone | 828-242-0640
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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 |
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