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General NPI Number Information
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NPI Number | 1447728795
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Entity Type | Organization
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Legal Business Name | ISLAND IMAGING, LLC
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 40 PALMETTO PARKWAY
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926
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Country | US
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Telephone | 843-681-1999
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Fax | 843-681-5999
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Provider Business Mailing Address
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Address Line | 18 CAPTAIN'S CROSSING
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City | SAVANNAH
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State | GA
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Zip | 31411-2104
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Country | US
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Telephone | 912-547-5640
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Fax | 843-681-5999
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Authorized Official
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Title or Position | MEMBER
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Name | DR. PATRICIA POTTER SHAPIRO
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Credential | MD
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Telephone | 912-547-5640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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