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General NPI Number Information
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NPI Number | 1598951592
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Entity Type | Organization
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Legal Business Name | MAIN LINE HEALTH IMAGING LP
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-645-2738
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Fax | 610-645-3325
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Provider Business Mailing Address
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Address Line | PO BOX 256
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City | PAOLI
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State | PA
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Zip | 19301-0256
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Country | US
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Telephone | 888-222-8012
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARRY ZEGEL
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Credential | MD
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Telephone | 610-645-2738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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