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General NPI Number Information
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NPI Number | 1518928506
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Entity Type | Organization
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Legal Business Name | NORTHAMPTON IMAGING CENTER
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 602 E 21ST ST SUITE 401
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1259
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Country | US
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Telephone | 610-262-6622
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Fax | 610-262-6432
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Provider Business Mailing Address
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Address Line | 421 W CHEW ST PHYSICIAN ACCOUNTS
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City | ALLENTOWN
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State | PA
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Zip | 18102-3406
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Country | US
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Telephone | 610-663-3441
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Fax | 610-663-3170
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Authorized Official
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Title or Position | PARTNER
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Name | SPLAIN J SPLAIN
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Credential | DO
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Telephone | 610-663-3441
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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 |
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