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General NPI Number Information
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NPI Number | 1336164532
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Entity Type | Organization
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Legal Business Name | MCMINN MEDICAL IMAGING, PC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 1114 W MADISON AVE
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City | ATHENS
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State | TN
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Zip | 37303-4150
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Country | US
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Telephone | 423-744-3256
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Fax | 423-746-1484
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Provider Business Mailing Address
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Address Line | PO BOX 843
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City | ATHENS
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State | TN
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Zip | 37371-0843
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Country | US
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Telephone | 423-744-3256
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Fax | 423-746-1484
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Authorized Official
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Title or Position | RADIOLOGIST; PRESIDENT
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Name | DR. STEPHEN LEMINGS
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Credential | MD
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Telephone | 423-744-3256
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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 | MD10736
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License Number State | TN
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