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General NPI Number Information
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NPI Number | 1386946143
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Entity Type | Organization
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Legal Business Name | UNIVERSAL IMAGING & RADIOLOGY, LLC
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 14462 COMMERCE WAY
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1508
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Country | US
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Telephone | 305-821-8585
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Fax | 305-821-8586
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Provider Business Mailing Address
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Address Line | 14462 COMMERCE WAY
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1508
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Country | US
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Telephone | 305-821-8585
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Fax | 305-821-8586
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Authorized Official
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Title or Position | CEO
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Name | DR. OLGA L. CASANAS, RT
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Credential | RT, ARRT, MR, M, RA
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Telephone | 305-821-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Internal Medicine Physician
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number |
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number |
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number |
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 2085R0205X
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Taxonomy Name | Radiological Physics Physician
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License Number |
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State | FL
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Taxonomy #13
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State | FL
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Taxonomy #14
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | FL
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Taxonomy #15
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 782006
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License Number State | FL
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