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General NPI Number Information
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NPI Number | 1639273709
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Entity Type | Organization
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Legal Business Name | MOBILE MEDICAL IMAGING SERVICES INC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 11/10/2008
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Provider Practice Location Address
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Address Line | 1601 CONGRESS STREET SUITE 3
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City | PORTLAND
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State | ME
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Zip | 04102-2141
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Country | US
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Telephone | 207-774-0885
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Fax | 207-774-7694
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Provider Business Mailing Address
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Address Line | 1601 CONGRESS STREET SUITE 3
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City | PORTLAND
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State | ME
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Zip | 04102-2141
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Country | US
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Telephone | 207-774-0885
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Fax | 207-774-7694
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Authorized Official
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Title or Position | VICE PRESIDENT/TREASURER
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Name | MR. STEPHEN M NOBLE
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Credential | RDMS
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Telephone | 207-774-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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