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General NPI Number Information
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NPI Number | 1417713884
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Entity Type | Organization
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Legal Business Name | GENX IMAGING LLC
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 6405 PEACHTREE INDUSTRIAL BLVD
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-3847
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Country | US
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Telephone | 555-123-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 8156 ROUTE 237
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City | LE ROY
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State | NY
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Zip | 14482-9324
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KARISHMA ALIBHAI
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Credential |
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Telephone | 404-937-9786
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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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