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General NPI Number Information
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NPI Number | 1639549884
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Entity Type | Organization
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Legal Business Name | CLEAR VIEW MOBILE IMAGING, LLC
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 1339 BENDER AVE
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City | HOLLY HILL
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State | FL
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Zip | 32117-2122
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Country | US
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Telephone | 386-631-5248
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Fax |
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Provider Business Mailing Address
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Address Line | 1339 BENDER AVE
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City | HOLLY HILL
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State | FL
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Zip | 32117-2122
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Country | US
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Telephone | 386-631-5248
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEOVANNI TORRES
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Credential |
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Telephone | 386-631-5248
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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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