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General NPI Number Information
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NPI Number | 1508979089
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Entity Type | Organization
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Legal Business Name | ECG SCANNING & MEDICAL SERVICES INC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 18223 E TEN MILE ROAD SUITE 300
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City | ROSEVILLE
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State | MI
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Zip | 48066-5281
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Country | US
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Telephone | 586-948-3803
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Fax | 586-948-3804
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Provider Business Mailing Address
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Address Line | 3055 KETTERLING BLVD SUITE 219
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City | DAYTON
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State | OH
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Zip | 45439-1900
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Country | US
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Telephone | 800-346-5837
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Fax | 937-395-4415
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | MR. JOHN NASUTI
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Credential |
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Telephone | 800-346-5837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0787141
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License Number State | OH
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