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General NPI Number Information
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NPI Number | 1588675979
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Entity Type | Organization
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Legal Business Name | AXCESS DIAGNOSTICS SARASOTA LLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 600 NORTH CATTLEMEN ROAD SUITE 100
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City | SARASOTA
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State | FL
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Zip | 34232
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Country | US
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Telephone | 941-342-0505
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Fax | 941-487-5800
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Provider Business Mailing Address
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Address Line | PO BOX 447
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City | VENICE
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State | FL
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Zip | 34284-0447
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Country | US
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Telephone | 941-488-5791
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Fax | 941-377-7975
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Authorized Official
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Title or Position | CEO
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Name | DR. STEPHEN M MILEY
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Credential | M.D.
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Telephone | 941-488-5791
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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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