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General NPI Number Information
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NPI Number | 1417907916
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 3433 NW 56TH ST, SUITE C-40
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4455
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Country | US
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Telephone | 405-945-4741
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Fax | 888-972-5320
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Provider Business Mailing Address
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Address Line | 3433 NW 56TH ST, SUITE C-40
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4455
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Country | US
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Telephone | 405-945-4741
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Fax | 888-972-5320
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT K GELCZER
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Credential | M.D
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Telephone | 405-945-4741
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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 | OK
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