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General NPI Number Information
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NPI Number | 1528033164
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Entity Type | Organization
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Legal Business Name | BETHESDA RADIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 2815 S SEACREST BLVD ATTENTION BETSY COX
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7934
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Country | US
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Telephone | 561-736-1200
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Fax | 561-742-1919
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Provider Business Mailing Address
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Address Line | 200 KNUTH RD SUITE 200
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4693
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Country | US
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Telephone | 561-736-1200
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Fax | 561-742-1919
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN ROONEY
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Credential | MD
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Telephone | 561-736-1200
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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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