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General NPI Number Information
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NPI Number | 1396019352
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Entity Type | Organization
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Legal Business Name | INSTANT HEALTH LLC
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 313 W MADISON ST
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City | LA GRANGE
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State | KY
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Zip | 40031-1431
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Country | US
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Telephone | 502-667-0692
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Fax | 502-225-6014
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Provider Business Mailing Address
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Address Line | 1006 NEW MOODY LN SUITE B
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City | LA GRANGE
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State | KY
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Zip | 40031-9122
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Country | US
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Telephone | 502-667-0692
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MISS NISHA G DAVE
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Credential |
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Telephone | 502-667-0692
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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 |
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