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General NPI Number Information
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NPI Number | 1356574826
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Entity Type | Organization
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Legal Business Name | KORANGY RADIOLOGY ASSOCIATES, PA
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 10151 YORK RD SUITE 108
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-3314
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Country | US
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Telephone | 410-628-6090
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Fax | 410-628-6190
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Provider Business Mailing Address
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Address Line | PO BOX 5847
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City | BALTIMORE
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State | MD
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Zip | 21282-5847
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Country | US
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Telephone | 410-764-0912
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Fax | 443-514-1298
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL S KORANGY
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Credential |
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Telephone | 410-764-0912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | MD
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