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General NPI Number Information
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NPI Number | 1336213040
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Entity Type | Organization
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Legal Business Name | BAY IMAGING GROUP INC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 1755 NE 127TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2518
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Country | US
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Telephone | 305-891-1900
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Fax | 305-891-1911
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Provider Business Mailing Address
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Address Line | 1755 NE 127TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2518
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Country | US
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Telephone | 305-891-1900
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Fax | 305-891-1911
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Authorized Official
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Title or Position | CEO
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Name | MR. HANK KOCHE
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Credential |
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Telephone | 305-891-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number | HCC5519
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License Number State | FL
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