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General NPI Number Information
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NPI Number | 1457433849
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Entity Type | Organization
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Legal Business Name | FIRELANDS RADIOLOGY, INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 54 EXECUTIVE DR
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City | NORWALK
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State | OH
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Zip | 44857-9566
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Country | US
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Telephone | 418-668-3349
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Fax | 419-663-6541
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Provider Business Mailing Address
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Address Line | 54 EXECUTIVE DR
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City | NORWALK
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State | OH
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Zip | 44857-9566
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Country | US
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Telephone | 418-668-3349
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Fax | 419-663-6541
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. MICHAEL J FRISCH
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Credential |
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Telephone | 419-668-3349
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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 | OH
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