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General NPI Number Information
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NPI Number | 1346027976
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Entity Type | Organization
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Legal Business Name | REGIONAL IMAGING ASSOCIATES
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 230 MEDICAL CENTER DR
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City | SEAMAN
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State | OH
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Zip | 45679-8002
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Country | US
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Telephone | 937-386-3400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9186
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City | LONGVIEW
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State | TX
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Zip | 75608-9186
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Country | US
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Telephone | 903-663-4800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT J COOK II
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Credential | MD
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Telephone | 419-223-2786
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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 |
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License Number State |
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