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General NPI Number Information
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NPI Number | 1538460696
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Entity Type | Organization
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Legal Business Name | FLASHRAD LLC
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 11/05/2010
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Provider Practice Location Address
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Address Line | 1125 41ST ST
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City | BROOKLYN
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State | NY
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Zip | 11218-1908
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Country | US
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Telephone | 917-939-2577
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 41ST ST
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City | BROOKLYN
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State | NY
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Zip | 11218-1908
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ALLEN HERSKOVIC
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Credential |
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Telephone | 917-939-2577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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