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General NPI Number Information
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NPI Number | 1407370984
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Entity Type | Organization
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Legal Business Name | RADIOLOGY PHYSICIAN SOLUTIONS OF WEST FLORIDA, LLC
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 43 ACORN PL
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City | COLTS NECK
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State | NJ
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Zip | 07722-1401
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Country | US
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Telephone | 800-437-2672
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Fax | 954-851-1746
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Provider Business Mailing Address
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Address Line | 7700 WEST SUNRISE BLVD 2ND FLOOR MAILSTOP - PL-14
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City | PLANTATION
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State | FL
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Zip | 33322-4113
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Country | US
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Telephone | 954-838-2371
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Fax | 954-851-1746
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Authorized Official
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Title or Position | OFFICER
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Name | KATHLEEN KONDAS
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Credential |
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Telephone | 954-838-2371
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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 |
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