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NPI 1518929025

NPI 1518929025 : FOCUS IMAGING GROUP, INC. : MARGATE, FL

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General NPI Number Information
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    NPI Number           |    1518929025
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOCUS IMAGING GROUP, INC. 
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Dates
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    Enumeration Date     |    04/03/2006
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    Last Update Date     |    11/29/2016
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Provider Practice Location Address
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    Address Line         |    2000 BANKS ROAD #213C 
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    City                 |    MARGATE
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    State                |    FL
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    Zip                  |    33063-7764
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    Country              |    US
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    Telephone            |    954-977-8508
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    Fax                  |    954-977-0412
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Provider Business Mailing Address
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    Address Line         |    2000 BANKS ROAD #213C 
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    City                 |    MARGATE
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    State                |    FL
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    Zip                  |    33063-7764
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    Country              |    US
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    Telephone            |    954-977-8508
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    Fax                  |    954-977-0412
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Authorized Official
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    Title or Position    |    PRESIDENT / OWNER
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    Name                 |    MR. MICHAEL P. GOLDSTEIN 
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    Credential           |    
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    Telephone            |    954-977-8508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0208X
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    Taxonomy Name        |    Mobile Radiology Clinic/Center
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    License Number       |    HCC4847
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    License Number State |    FL
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