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General NPI Number Information
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NPI Number | 1457300972
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Entity Type | Organization
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Legal Business Name | REVEAL DIAGNOSTIC IMAGING OF PENNSYLVANIA LLC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 1025 BERKSHIRE BLVD SUITE 500
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City | WYOMISSING
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State | PA
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Zip | 19610-1227
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Country | US
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Telephone | 610-478-8797
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Fax | 610-478-8859
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Provider Business Mailing Address
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Address Line | PO BOX 23137
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29925-3137
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Country | US
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Telephone | 843-342-7100
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Fax | 843-342-5898
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Authorized Official
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Title or Position | PRESIDENT
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Name | MURAT CAGLAYAN
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Credential |
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Telephone | 843-342-7100
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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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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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