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General NPI Number Information
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NPI Number | 1528042314
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL IMAGING CORP
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 15100 NW 67TH AVE SUITE 104
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2102
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Country | US
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Telephone | 305-817-3300
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Fax | 305-817-3939
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Provider Business Mailing Address
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Address Line | 15100 NW 67TH AVE SUITE 104
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2102
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Country | US
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Telephone | 305-817-3300
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Fax | 305-817-3939
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDUARDO LAMAS
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Credential |
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Telephone | 305-817-3300
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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 | HCC5394
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License Number State | FL
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