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General NPI Number Information
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NPI Number | 1639221971
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Entity Type | Organization
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Legal Business Name | LAVOD PORTABLE X RAY INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 02/09/2009
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Provider Practice Location Address
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Address Line | 1393 SW 1ST ST SUITE 210
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City | MIAMI
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State | FL
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Zip | 33135-2321
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Country | US
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Telephone | 305-643-5722
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Fax | 305-643-5728
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Provider Business Mailing Address
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Address Line | 1393 SW 1ST ST SUITE 210
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City | MIAMI
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State | FL
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Zip | 33135-2321
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Country | US
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Telephone | 305-643-5722
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIGUEL ANGEL RODRIGUEZ
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Credential |
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Telephone | 305-643-5722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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