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General NPI Number Information
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NPI Number | 1457337073
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Entity Type | Organization
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Legal Business Name | ST. VINCENT'S P.E.T. CENTER, LLC
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 2728 10TH AVE S STE 300
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1202
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Country | US
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Telephone | 205-930-2670
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Fax | 205-930-2671
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Provider Business Mailing Address
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Address Line | 406 MEDICAL CENTER DR
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City | JASPER
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State | AL
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Zip | 35501-3400
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Country | US
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Telephone | 205-221-8200
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Fax | 205-221-8270
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Authorized Official
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Title or Position | SENIOR VICE-PRESIDENT
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Name | LISA J. WELLS
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Credential | CPCO
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Telephone | 205-221-8258
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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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