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General NPI Number Information
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NPI Number | 1396172789
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Entity Type | Organization
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Legal Business Name | DIGITAL RADIOLOGY, INC
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 1353 BAY TER
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-4002
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Country | US
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Telephone | 305-759-9293
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Fax | 305-759-5544
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Provider Business Mailing Address
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Address Line | 1353 BAY TER
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-4002
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Country | US
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Telephone | 305-759-9293
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Fax | 305-759-5544
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOUGLAS NEAL HORNSBY
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Credential | M.D.
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Telephone | 305-759-9293
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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 | ME83541
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License Number State | FL
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