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General NPI Number Information
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NPI Number | 1447498332
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Entity Type | Organization
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Legal Business Name | A1 IMAGING CENTERS LLC
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 3020 S HARVARD AVE
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City | TULSA
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State | OK
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Zip | 74114-6138
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Country | US
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Telephone | 918-749-5657
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Fax | 918-749-5667
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Provider Business Mailing Address
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Address Line | 2 N TAMIAMI TRAIL 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 | 941-953-4452
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Authorized Official
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Title or Position | DIRECTOR OF MANAGED CARE
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Name | TOM COLICCHIO
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Credential |
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Telephone | 909-887-8788
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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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