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General NPI Number Information
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NPI Number | 1316968019
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Entity Type | Organization
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Legal Business Name | IMAGES USA INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3333 WEST DEYOUNG HEARTLAND REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY
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City | MARION
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State | IL
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Zip | 62959
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Country | US
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Telephone | 618-998-7655
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 503809 IMAGES USA INC
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City | ST LOUIS
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State | MO
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Zip | 63150-3809
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Country | US
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Telephone | 800-775-9195
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Fax | 309-688-5562
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRUCE JC HOULE
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Credential | DO
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Telephone | 618-998-7655
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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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