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General NPI Number Information
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NPI Number | 1487826152
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Entity Type | Organization
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Legal Business Name | TRI-STATE MOBILE X-RAY, INC
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 4684 CLAIRTON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15236-2114
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Country | US
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Telephone | 412-881-9333
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Fax | 412-881-3522
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Provider Business Mailing Address
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Address Line | 4684 CLAIRTON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15236-2114
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Country | US
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Telephone | 412-881-9333
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Fax | 412-881-3522
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MS. CHRISTINE A MURSCH
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Credential |
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Telephone | 412-881-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State | PA
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