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General NPI Number Information
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NPI Number | 1326023284
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTH IMAGING OF FLORIDA LLC
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 2510 MICCOSUKEE RD SUITE 100
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5473
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Country | US
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Telephone | 850-942-1100
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Fax | 850-942-1144
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Provider Business Mailing Address
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Address Line | PO BOX 745973
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City | ATLANTA
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State | GA
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Zip | 30374-5973
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | KATRINA ROELLE
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Credential |
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Telephone | 614-689-1691
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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 |
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