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General NPI Number Information
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NPI Number | 1437480449
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Entity Type | Organization
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Legal Business Name | MOBILE3D
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 445 CENTRAL AVENUE SUITE307
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City | CEDARHURST
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State | NY
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Zip | 11516
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Country | US
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Telephone | 516-569-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 445 CENTRAL AVE
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City | CEDARHURST
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State | NY
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Zip | 11516-2001
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Country | US
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Telephone | 516-569-0036
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Fax | 516-977-9899
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELANA MAGRELI
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Credential |
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Telephone | 516-569-0036
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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 |
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Taxonomy #2
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Taxonomy Code | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number |
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License Number State |
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