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General NPI Number Information
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NPI Number | 1336322825
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Entity Type | Organization
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Legal Business Name | NUCLEAR SPECIALISTS INC
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 4155 SAINT JOHNS PKWY #1400
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City | SANFORD
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State | FL
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Zip | 32771-6391
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Country | US
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Telephone | 407-320-1889
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Fax | 407-320-0820
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Provider Business Mailing Address
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Address Line | 4155 SAINT JOHNS PKWY #1400
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City | SANFORD
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State | FL
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Zip | 32771-6391
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Country | US
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Telephone | 407-320-1889
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Fax | 407-320-0820
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT HANEY SOULE
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Credential |
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Telephone | 407-320-1889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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