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General NPI Number Information
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NPI Number | 1326019548
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Entity Type | Organization
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Legal Business Name | GFI RADIOLOGY INC
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4601 N OAKLAND AVE
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City | SHOREWOOD
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State | WI
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Zip | 53211-1232
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Country | US
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Telephone | 414-964-4601
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Fax | 414-964-4616
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Provider Business Mailing Address
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Address Line | 6400 INDUSTRIAL LOOP
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City | GREENDALE
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State | WI
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Zip | 53129-2452
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Country | US
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Telephone | 414-423-4100
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Fax | 414-423-4134
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEIL TABAKIN
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Credential | M.D.
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Telephone | 262-241-5194
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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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