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General NPI Number Information
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NPI Number | 1558639849
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Entity Type | Organization
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Legal Business Name | ASSURANCE IMAGING, LLC
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 1000 CENTRE PARK DR SUITE 200
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City | ASHEVILLE
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State | NC
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Zip | 28805-1265
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Country | US
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Telephone | 828-575-2595
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 CENTRE PARK DR SUITE 200
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City | ASHEVILLE
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State | NC
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Zip | 28805-1265
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Country | US
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Telephone | 828-575-2595
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMANDA MARTIN DULA
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Credential | RDMS, RVT
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Telephone | 828-275-3733
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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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