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General NPI Number Information
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NPI Number | 1396916094
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Entity Type | Organization
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Legal Business Name | EXCALIBUR MEDICAL IMAGING, LLC
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 420 W MAGNETIC ST
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City | MARQUETTE
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State | MI
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Zip | 49855-2711
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Country | US
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Telephone | 906-225-3540
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Fax |
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Provider Business Mailing Address
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Address Line | 420 W MAGNETIC ST
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City | MARQUETTE
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State | MI
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Zip | 49855-2711
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Country | US
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Telephone | 906-225-3540
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ARUTHUR J. GREENE
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Credential | M.D.
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Telephone | 906-225-3540
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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 | MI
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