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General NPI Number Information
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NPI Number | 1437594686
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Entity Type | Organization
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Legal Business Name | AFFORDABLE BREAST IMAGING
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 864 KENDALL PARK DR
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City | WINDER
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State | GA
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Zip | 30680-7868
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Country | US
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Telephone | 770-361-9140
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Fax |
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Provider Business Mailing Address
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Address Line | 864 KENDALL PARK DR
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City | WINDER
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State | GA
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Zip | 30680-7868
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Country | US
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Telephone | 770-361-9140
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE LADET
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Credential |
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Telephone | 770-361-9140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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