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General NPI Number Information
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NPI Number | 1588927156
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Entity Type | Organization
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Legal Business Name | ALL X RAY DIAGNOSTIC SERVICES CORP
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 1800 FOREST HILL BLVD A-1-2
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City | WEST PALM BEACH
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State | FL
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Zip | 33406
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Country | US
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Telephone | 561-318-5494
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Fax | 561-318-5479
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Provider Business Mailing Address
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Address Line | 1800 FOREST HILL BLVD A-1-2
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City | WEST PALM BEACH
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State | FL
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Zip | 33406
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Country | US
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Telephone | 561-318-5494
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Fax | 561-318-5479
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Authorized Official
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Title or Position | PRESIDENT
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Name | SABINO FERRO FLORES
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Credential | CRT
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Telephone | 561-318-5494
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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 | HCC9131
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License Number State | FL
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