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General NPI Number Information
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NPI Number | 1528988896
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Entity Type | Organization
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Legal Business Name | LIFESPAN BREAST AND IMAGING CENTER, LLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 321 15TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2734
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Country | US
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Telephone | 561-407-0212
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Fax | 561-448-4887
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Provider Business Mailing Address
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Address Line | 321 15TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2734
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Country | US
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Telephone | 561-407-0212
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Fax | 561-448-4887
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ORNA HADAR
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Credential | MD
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Telephone | 561-407-0212
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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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Taxonomy #2
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Taxonomy Code | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number |
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License Number State |
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