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General NPI Number Information
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NPI Number | 1336186139
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Entity Type | Organization
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Legal Business Name | REGIONAL DIAGNOSTIC SERVICES INC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 314 BLUEBIRD DR
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-2304
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Country | US
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Telephone | 615-347-9347
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 59
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City | GALLATIN
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State | TN
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Zip | 37066-0059
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Country | US
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Telephone | 615-451-4511
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Fax | 615-230-8585
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | CARL S JOHNSON
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Credential | CNMT
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Telephone | 615-347-9347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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