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General NPI Number Information
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NPI Number | 1558493742
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Entity Type | Organization
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Legal Business Name | X-CEL MOBILE MEDICAL IMAGING INC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 4707 ENTERPRISE AVE UNIT 7
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City | NAPLES
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State | FL
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Zip | 34104-7064
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Country | US
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Telephone | 239-352-9225
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Fax | 239-434-5465
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Provider Business Mailing Address
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Address Line | 180 12TH ST SE
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City | NAPLES
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State | FL
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Zip | 34117-3667
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Country | US
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Telephone | 239-352-9225
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Fax | 888-400-8530
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JEANNE TERESA MACNICOL
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Credential | ARRT
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Telephone | 239-352-9225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | HCC5809
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License Number State | FL
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