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General NPI Number Information
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NPI Number | 1366441677
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Entity Type | Organization
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Legal Business Name | EXCALIBUR MEDICAL IMAGING, LLC
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 710 DOMINION DR
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City | MOORESTOWN
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State | NJ
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Zip | 08057-4404
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Country | US
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Telephone | 856-482-2900
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Fax | 856-482-5127
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Provider Business Mailing Address
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Address Line | 710 DOMINION DR
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City | MOORESTOWN
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State | NJ
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Zip | 08057-4404
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Country | US
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Telephone | 856-482-2900
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Fax | 856-482-5127
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARTHUR J GREENE
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Credential | M.D.
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Telephone | 856-482-2900
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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 |
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