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General NPI Number Information
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NPI Number | 1528372737
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Entity Type | Organization
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Legal Business Name | LANCASTER OUTPATIENT IMAGING, LLC
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 2170 NOLL DR
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City | LANCASTER
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State | PA
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Zip | 17603-7603
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Country | US
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Telephone | 717-393-5187
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Fax |
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Provider Business Mailing Address
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Address Line | 924 RED ROSE CT
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City | LANCASTER
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State | PA
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Zip | 17601-1969
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Country | US
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Telephone | 717-293-0709
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Fax | 717-293-0819
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | DR. ROBERT M SPRINGER III
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Credential | M.D.
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Telephone | 717-735-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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