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NPI 1366411589

NPI 1366411589 : INSIGHT HEALTH CORP : FAIRFAX, VA

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General NPI Number Information
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    NPI Number           |    1366411589
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    Entity Type          |    Organization 
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    Legal Business Name  |    INSIGHT HEALTH CORP 
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Dates
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    Enumeration Date     |    03/17/2006
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    Last Update Date     |    09/06/2024
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Provider Practice Location Address
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    Address Line         |    10721 MAIN ST STE G1
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22030-6914
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    Country              |    US
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    Telephone            |    703-591-8020
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    Fax                  |    703-591-0722
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Provider Business Mailing Address
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    Address Line         |    PO BOX 742439 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-2439
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    Country              |    US
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    Telephone            |    952-542-8553
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    Fax                  |    952-513-6880
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Authorized Official
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    Title or Position    |    SPECIAL ASSISTANT SECRETARY
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    Name                 |     RAMONA L AHERN 
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    Credential           |    
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    Telephone            |    952-738-4441
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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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