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General NPI Number Information
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NPI Number | 1326397423
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Entity Type | Organization
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Legal Business Name | RADIANT DIAGNOSTIC IMAGING INC
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 2415 UNIVERSITY PKWY SUITE 112, BLDG 3
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City | SARASOTA
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State | FL
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Zip | 34243-2809
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Country | US
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Telephone | 941-355-9800
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Fax | 941-355-9811
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Provider Business Mailing Address
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Address Line | 2415 UNIVERSITY PKWY SUITE 112, BLDG 3
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City | SARASOTA
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State | FL
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Zip | 34243-2809
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Country | US
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Telephone | 941-355-9800
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Fax | 941-355-9811
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. ANDRES ABREU
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Credential | D.O.
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Telephone | 941-355-9800
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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 | OS 10611
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License Number State | FL
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