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General NPI Number Information
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NPI Number | 1457690810
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Entity Type | Organization
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Legal Business Name | HKG RADIOLOGY LLC
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 27160 BAY LANDING DR SUITE 201
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4301
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Country | US
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Telephone | 239-390-3339
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Fax | 239-390-0445
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Provider Business Mailing Address
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Address Line | 27160 BAY LANDING DR SUITE 201
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4301
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Country | US
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Telephone | 239-390-3339
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Fax | 239-390-0445
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HARMINDAR K GILL
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Credential | M.D.
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Telephone | 239-390-3339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | ME91273
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License Number State | FL
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