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General NPI Number Information
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NPI Number | 1477768331
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Entity Type | Organization
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Legal Business Name | INMED DIAGNOSTIC SERVICES OF MA, LLC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 QUINLAN WAY
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City | HYANNIS
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State | MA
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Zip | 02601-5232
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Country | US
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Telephone | 508-771-4708
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Fax | 508-759-8178
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Provider Business Mailing Address
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Address Line | 40 QUINLAN WAY
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City | HYANNIS
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State | MA
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Zip | 02601-5232
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Country | US
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Telephone | 508-771-4708
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Fax | 508-759-8178
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT E ADAMS
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Credential | PRESIDENT
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Telephone | 803-988-1093
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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 | M395
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License Number State | MA
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