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General NPI Number Information
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NPI Number | 1447121223
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Entity Type | Organization
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Legal Business Name | LEG IMAGING AND VEIN CARE LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 629 N WOOD AVE STE 4
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City | LINDEN
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State | NJ
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Zip | 07036-4193
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Country | US
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Telephone | 973-437-0216
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Fax | 973-992-1993
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Provider Business Mailing Address
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Address Line | 11850 NW 37TH PL
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City | SUNRISE
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State | FL
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Zip | 33323-2611
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Country | US
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Telephone | 973-437-0216
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Fax | 973-992-1993
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | HEATHER MESSIAS
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Credential |
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Telephone | 973-437-0216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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