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General NPI Number Information
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NPI Number | 1356390595
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOCIATES OF DUBLIN, LLC
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2406 BELLEVUE RD ERIN OFFICE PARK, BLDG 12
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City | DUBLIN
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State | GA
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Zip | 31021-2842
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Country | US
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Telephone | 478-275-0580
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Fax | 478-272-0538
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Provider Business Mailing Address
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Address Line | PO BOX 1513
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City | DUBLIN
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State | GA
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Zip | 31040-1513
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Country | US
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Telephone | 478-275-0580
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Fax | 478-272-0538
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Authorized Official
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Title or Position | MANAGER
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Name | JENNIFER F PARKER
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Credential |
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Telephone | 478-275-0580
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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 | APPLIED FOR
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License Number State | GA
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