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General NPI Number Information
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NPI Number | 1508068131
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Entity Type | Organization
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Legal Business Name | AVIVA MEDICAL IMAGING, P.C.
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2055 WILLIAMSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10461-1606
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Country | US
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Telephone | 718-862-3760
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Fax | 718-824-3113
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Provider Business Mailing Address
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Address Line | 2055 WILLIAMSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10461-1606
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Country | US
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Telephone | 718-862-3760
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Fax | 718-824-3113
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT SCOTT SCHEPP
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Credential | MD
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Telephone | 718-862-3760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 146636-6
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License Number State | NY
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