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General NPI Number Information
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NPI Number | 1629011341
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Entity Type | Organization
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Legal Business Name | ABINGDON RADIOLOGY SERVICES LTD
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | HOSPITAL DRIVE GLENROCHIE PROFESSIONAL BLDG
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City | ABINGDON
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State | VA
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Zip | 24210
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Country | US
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Telephone | 276-628-9331
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Fax | 276-628-1093
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Provider Business Mailing Address
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Address Line | PO BOX 918
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City | ABINGDON
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State | VA
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Zip | 24212-0918
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Country | US
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Telephone | 276-628-9331
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Fax | 276-628-1093
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN RICHARD MULLENS
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Credential | M.D.
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Telephone | 276-628-9331
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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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