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General NPI Number Information
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NPI Number | 1467069732
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Entity Type | Organization
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Legal Business Name | SENTARA ADVANCED IMAGING SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 824 N MILITARY HWY STE 100
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City | NORFOLK
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State | VA
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Zip | 23502-3652
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Country | US
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Telephone | 757-252-2900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746550
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City | ATLANTA
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State | GA
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Zip | 30374-6550
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Country | US
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Telephone | 757-252-2900
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DORIS PRINCE
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Credential |
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Telephone | 757-252-2760
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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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