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General NPI Number Information
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NPI Number | 1477358372
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND MOLECULAR IMAGING LLC
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 15 DURHAM RD
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City | DOVER
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State | NH
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Zip | 03820-4380
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Country | US
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Telephone | 603-537-1363
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 735651
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City | DALLAS
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State | TX
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Zip | 75373-5651
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP AND ASSOCIATE GENERAL COUNSEL
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Name | GREG GAMBILL
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Credential |
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Telephone | 303-414-2037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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