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General NPI Number Information
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NPI Number | 1487778734
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Entity Type | Organization
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Legal Business Name | RADIOLOGY CONSULTANTS OF UNION, PA
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 322 W SOUTH ST
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City | UNION
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State | SC
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Zip | 29379-2839
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Country | US
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Telephone | 864-429-2623
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Fax | 864-427-7472
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Provider Business Mailing Address
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Address Line | 3328 GUESS RD SUITE 2A
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City | DURHAM
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State | NC
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Zip | 27705-2158
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Country | US
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Telephone | 919-620-5700
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Fax | 919-620-3632
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN JOSEPH MUEHLENBEIN
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Credential | M.D.
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Telephone | 330-533-6099
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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 | 27109
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License Number State | SC
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