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General NPI Number Information
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NPI Number | 1376908079
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Entity Type | Organization
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Legal Business Name | D & B X-RAY DIAGNOSTIC CENTER, INC.
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 9920 SW 20TH ST
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City | MIAMI
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State | FL
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Zip | 33165-7502
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Country | US
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Telephone | 305-299-7865
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Fax | 305-223-9886
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Provider Business Mailing Address
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Address Line | 8260 W FLAGLER ST SUITE 1J
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City | MIAMI
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State | FL
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Zip | 33144-2069
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Country | US
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Telephone | 305-226-5470
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Fax | 305-223-9886
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MELVIN F DELGADO I
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Credential |
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Telephone | 305-299-7865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | FL
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