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General NPI Number Information
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NPI Number | 1477444560
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Entity Type | Organization
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Legal Business Name | HEALTH GUARDIAN IMAGING LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1249 E MONTCLAIR ST
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City | SPRINGFIELD
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State | MO
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Zip | 65804-4255
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Country | US
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Telephone | 877-681-2977
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Fax |
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Provider Business Mailing Address
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Address Line | 1249 E MONTCLAIR ST
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City | SPRINGFIELD
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State | MO
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Zip | 65804-4255
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Country | US
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Telephone | 877-681-2977
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EARL BLAIR MAES
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Credential | MD
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Telephone | 877-681-2977
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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 |
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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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