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General NPI Number Information
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NPI Number | 1629618558
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Entity Type | Organization
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Legal Business Name | REMOTE ACCESS DIAGNOSTIC SERVICES
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 03/06/2020
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Provider Practice Location Address
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Address Line | 14221 E 4TH AVE STE 2-221
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City | AURORA
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State | CO
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Zip | 80011-8735
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Country | US
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Telephone | 720-639-4410
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Fax | 855-373-2943
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Provider Business Mailing Address
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Address Line | 14221 E 4TH AVE STE 2-221
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City | AURORA
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State | CO
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Zip | 80011-8735
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Country | US
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Telephone | 720-639-4410
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Fax | 855-373-2943
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Authorized Official
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Title or Position | OWNER
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Name | AMANUEL BERHANE HAILE
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Credential | RT(R)(MR)
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Telephone | 720-339-1029
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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 |
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License Number State |
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