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General NPI Number Information
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NPI Number | 1487847992
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Entity Type | Organization
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Legal Business Name | CAN-AM RADIOLOGY
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 472 SW FUGE RD
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City | STUART
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State | FL
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Zip | 34997-6269
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Country | US
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Telephone | 772-781-2651
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Fax |
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Provider Business Mailing Address
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Address Line | 472 SW FUGE RD
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City | STUART
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State | FL
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Zip | 34997-6269
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Country | US
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Telephone | 772-781-2651
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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. NORBERT DOMBROWSKY
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Credential | DACBR
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Telephone | 561-624-6170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | CH8308
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License Number State | FL
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