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General NPI Number Information
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NPI Number | 1427318757
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Entity Type | Organization
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Legal Business Name | PARKWAY RADIOLOGY, LLC
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 13 WESTERN MARYLAND PARKWAY SUITE 105
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City | HAGERSTOWN
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State | MD
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Zip | 21740
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Country | US
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Telephone | 240-329-4642
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Fax | 240-329-5299
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Provider Business Mailing Address
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Address Line | 13 WESTERN MARYLAND PARKWAY SUITE 105
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City | HAGERSTOWN
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State | MD
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Zip | 21740
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Country | US
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Telephone | 240-329-4642
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Fax | 240-329-5299
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALLAN MERCER
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Credential |
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Telephone | 516-849-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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