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General NPI Number Information
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NPI Number | 1376781310
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC IMAGING ASSOCIATES LLP
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 100 COLLEGE PKWY SUITE 180
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6800
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Country | US
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Telephone | 716-636-1902
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Fax |
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Provider Business Mailing Address
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Address Line | 100 COLLEGE PKWY SUITE 180
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6800
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Country | US
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Telephone | 716-636-1902
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD THOMAS
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Credential | MD
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Telephone | 716-636-1901
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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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