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General NPI Number Information
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NPI Number | 1346542123
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Entity Type | Organization
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Legal Business Name | NU-IMAGING MEDICAL DIAGNOSTIC & THERAPY
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 839 NEW HOPE RD
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-3760
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Country | US
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Telephone | 678-471-6073
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Fax | 770-964-1105
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Provider Business Mailing Address
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Address Line | 839 NEW HOPE RD
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-3760
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Country | US
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Telephone | 678-471-6073
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Fax | 770-964-1105
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Authorized Official
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Title or Position | CEO
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Name | SHASHIKANT A. DAYA
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Credential | M.D.
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Telephone | 678-471-6073
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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 | GA
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