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General NPI Number Information
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NPI Number | 1447283916
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Entity Type | Organization
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Legal Business Name | CEDAR CREST IMAGING
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 1125 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-7903
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Country | US
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Telephone | 610-821-9105
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-7903
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Country | US
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Telephone | 610-821-9105
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAVID JAY SHINGLES
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Credential | D.O.
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Telephone | 610-821-9105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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