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General NPI Number Information
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NPI Number | 1366420879
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Entity Type | Organization
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Legal Business Name | LUMINIS HEALTH IMAGING, INC.
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 2000 MEDICAL PKWY
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3742
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Country | US
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Telephone | 443-481-5330
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Fax | 443-481-5882
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Provider Business Mailing Address
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Address Line | PO BOX 404433
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City | ATLANTA
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State | GA
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Zip | 30384-4433
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Country | US
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Telephone | 443-481-5330
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Fax | 443-481-5882
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. KAREN M SCOTT
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Credential |
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Telephone | 443-481-5335
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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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