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General NPI Number Information
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NPI Number | 1609868447
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Entity Type | Organization
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Legal Business Name | NAPLES DIAGNOSTIC IMAGING CENTER LTD
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 1715 MEDICAL BLVD
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City | NAPLES
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State | FL
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Zip | 34110-1402
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Country | US
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Telephone | 239-593-4200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1406
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-1406
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Country | US
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Telephone | 888-656-6020
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. JIM BATES
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Credential |
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Telephone | 239-262-2708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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