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General NPI Number Information
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NPI Number | 1609057926
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Entity Type | Organization
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Legal Business Name | A R IMAGING, S.C.
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 100 E WALTON ST SUITE 106
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City | CHICAGO
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State | IL
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Zip | 60611-1448
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Country | US
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Telephone | 312-587-1111
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Fax | 312-587-1110
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Provider Business Mailing Address
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Address Line | PO BOX 2482
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City | ORLAND PARK
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State | IL
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Zip | 60462-1091
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Country | US
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Telephone | 312-587-1111
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Fax | 312-587-1110
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANDREW ROSENSON
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Credential | MD
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Telephone | 312-587-1111
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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 | 042007799
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License Number State | IL
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