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General NPI Number Information
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NPI Number | 1376592402
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Entity Type | Organization
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Legal Business Name | PREMIER RADIOLOGY, LLP
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1106 DRUID RD S SUITE 302
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City | CLEARWATER
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State | FL
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Zip | 33756-3846
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Country | US
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Telephone | 727-441-3711
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660
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City | CLEARWATER
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State | FL
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Zip | 33757-0660
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Country | US
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Telephone | 727-441-3711
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL KROP
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Credential | M. D.
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Telephone | 727-441-3711
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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 | FL
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