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General NPI Number Information
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NPI Number | 1497921076
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Entity Type | Organization
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Legal Business Name | HAZARD RADIOLOGY ASSOCIATES INC.
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 200 MEDICAL CENTER DR STE 1N
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City | HAZARD
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State | KY
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Zip | 41701-9477
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Country | US
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Telephone | 606-439-5051
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Fax | 606-436-4655
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Provider Business Mailing Address
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Address Line | 200 MEDICAL CENTER DR STE 1N
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City | HAZARD
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State | KY
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Zip | 41701-9477
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Country | US
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Telephone | 606-439-5057
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Fax | 606-436-4655
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHOK PATEL
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Credential | M.D.
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Telephone | 606-439-5051
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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 |
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License Number State | KY
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