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General NPI Number Information
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NPI Number | 1497407753
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Entity Type | Organization
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Legal Business Name | MOBILE CARDIOVASCULAR IMAGING LLC
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 8360 LAUREL LAKES BLVD
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City | NAPLES
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State | FL
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Zip | 34119-9792
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Country | US
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Telephone | 954-613-9407
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Fax |
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Provider Business Mailing Address
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Address Line | 1990 BALD EAGLE DR UNIT B
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City | NAPLES
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State | FL
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Zip | 34105-2974
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Country | US
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Telephone | 239-272-7943
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID PATRICK
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Credential |
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Telephone | 239-272-7943
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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 |
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