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General NPI Number Information
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NPI Number | 1619024858
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Entity Type | Organization
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Legal Business Name | A LOOK WITHIN INC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2792 CORRIGAN DR
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City | DELTONA
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State | FL
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Zip | 32738-2065
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Country | US
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Telephone | 407-497-3708
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Fax |
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Provider Business Mailing Address
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Address Line | 2792 CORRIGAN DR
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City | DELTONA
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State | FL
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Zip | 32738-2065
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RDMS
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Name | MS. AURIANA REYES
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Credential |
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Telephone | 407-497-3708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | HCC7401
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License Number State | FL
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