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General NPI Number Information
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NPI Number | 1427033745
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Entity Type | Organization
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Legal Business Name | CAPITAL IMAGING,LTD
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3132 OLENTANGY RIVER RD
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City | COLUMBUS
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State | OH
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Zip | 43202-1517
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Country | US
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Telephone | 614-784-8522
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Fax | 614-784-8566
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Provider Business Mailing Address
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Address Line | 3132 OLENTANGY RIVER RD
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City | COLUMBUS
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State | OH
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Zip | 43202-1517
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Country | US
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Telephone | 614-784-8522
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Fax | 614-784-8566
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Authorized Official
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Title or Position | OWNER/INVESTOR
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Name | CHARLES CLARK
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Credential |
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Telephone | 614-595-8867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | OH
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