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General NPI Number Information
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NPI Number | 1528602794
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Entity Type | Organization
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Legal Business Name | MY VITAL VIEW, LLC
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 2194 HIGHWAY A1A STE 107
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4955
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Country | US
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Telephone | 321-600-0063
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Fax | 321-600-4004
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Provider Business Mailing Address
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Address Line | 2194 HIGHWAY A1A STE 107
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4955
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Country | US
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Telephone | 321-600-0063
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL K BEIRNE
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Credential | MD
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Telephone | 321-600-0063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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