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General NPI Number Information
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NPI Number | 1437499217
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Entity Type | Organization
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Legal Business Name | A1 X-RAY SERVICES, LLC
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 2 N TAMIAMI TRL SUITE 210
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City | SARASOTA
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State | FL
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Zip | 34236-5574
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Country | US
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Telephone | 941-925-3490
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Fax | 941-925-4914
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Provider Business Mailing Address
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Address Line | 2 N TAMIAMI TRL SUITE 210
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City | SARASOTA
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State | FL
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Zip | 34236-5574
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Country | US
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Telephone | 941-925-3490
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Fax | 941-925-4914
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Authorized Official
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Title or Position | COO
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Name | MARILYN RADAKOVIC
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Credential |
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Telephone | 941-925-3490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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