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General NPI Number Information
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NPI Number | 1639506587
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Entity Type | Organization
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Legal Business Name | CHARTER RADIOLOGY, LLC
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 10700 CHARTER DR SUITE 110
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City | COLUMBIA
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State | MD
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Zip | 21044-3631
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Country | US
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Telephone | 443-917-2855
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Fax | 410-346-5775
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Provider Business Mailing Address
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Address Line | 10 LITTLE BROOK RD
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City | WEST WAREHAM
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State | MA
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Zip | 02576-1222
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Country | US
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Telephone | 800-841-5200
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Fax | 508-273-1241
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Authorized Official
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Title or Position | CEO
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Name | ARVINDER UPPAL
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Credential | MD
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Telephone | 443-917-2855
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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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