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General NPI Number Information
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NPI Number | 1316377682
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Entity Type | Organization
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Legal Business Name | SPRING VIEW IMAGING CENTER
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 4343 OLD GRAND AVE SUITE 205
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City | GURNEE
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State | IL
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Zip | 60031-2767
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Country | US
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Telephone | 847-338-7556
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Fax | 847-672-7691
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Provider Business Mailing Address
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Address Line | 4343 OLD GRAND AVE SUITE 205
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City | GURNEE
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State | IL
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Zip | 60031
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Country | US
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Telephone | 847-338-7556
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Fax | 847-672-7691
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Authorized Official
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Title or Position | CEO
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Name | MS. PAMELA BUCKHALTER
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Credential |
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Telephone | 847-338-7556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | IL
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