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General NPI Number Information
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NPI Number | 1427134683
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Entity Type | Organization
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Legal Business Name | RADIOLOGY SPECIALTY GROUP LLC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 4231 HWY 1192
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City | MARKSVILLE
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State | LA
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Zip | 71351-4711
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Country | US
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Telephone | 318-792-1416
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Fax | 318-484-5289
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Provider Business Mailing Address
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Address Line | PO BOX 8278
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City | ALEXANDRIA
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State | LA
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Zip | 71306-1278
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Country | US
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Telephone | 888-554-8444
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Fax | 318-484-5289
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Authorized Official
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Title or Position | PARTNER
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Name | DIANNE E LAFLEUR
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Credential | MD
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Telephone | 337-298-2445
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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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