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General NPI Number Information
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NPI Number | 1548619984
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Entity Type | Organization
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Legal Business Name | BH IMAGING CONSULTING PLLC
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 145 NEWCOMB AVE
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2728
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Country | US
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Telephone | 800-278-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 1046 EVERETT AVE
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City | LOUISVILLE
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State | KY
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Zip | 40204-1216
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Country | US
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Telephone | 502-386-8012
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER/OWNER
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Name | BETHANIE R. HAMMOND
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Credential | MD
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Telephone | 502-386-8012
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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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