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General NPI Number Information
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NPI Number | 1558678227
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Entity Type | Organization
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Legal Business Name | GALAXY MOBILE DIAGNOSTIC SERVICES LLC
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 719 BLUE MOUNTAIN LK
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-7905
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Country | US
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Telephone | 718-789-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 719 BLUE MOUNTAIN LK
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-7905
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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 | OPERATIONS MANAGER
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Name | OSAHON AGUEBOR
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Credential | ARRT.(MR). (R) RT
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Telephone | 718-789-1818
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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 |
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License Number State |
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