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General NPI Number Information
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NPI Number | 1467594887
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND RADIOLOGY & LAB SERVICES, P.C.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 25 JOHN A CUMMINGS WAY
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City | WOONSOCKET
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State | RI
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Zip | 02895-3224
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Country | US
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Telephone | 401-767-2036
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Fax | 401-767-2037
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Provider Business Mailing Address
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Address Line | 25 JOHN A CUMMINGS WAY 2ND FLOOR
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City | WOONSOCKET
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State | RI
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Zip | 02895-3224
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Country | US
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Telephone | 401-767-2036
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Fax | 401-767-2037
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Authorized Official
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Title or Position | OWNER
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Name | HISHAM ELKADI
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Credential | M.D.
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Telephone | 401-767-2036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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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 | 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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