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General NPI Number Information
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NPI Number | 1649256942
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ALLIANCE CT
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 52 WHITE BRIDGE RD
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City | NASHVILLE
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State | TN
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Zip | 37205-1411
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Country | US
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Telephone | 615-354-1255
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Fax | 615-354-1255
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Provider Business Mailing Address
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Address Line | PO BOX 440166
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City | NASHVILLE
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State | TN
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Zip | 37244-0166
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Country | US
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Telephone | 615-312-0600
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SHARLEE LEBLEU
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Credential |
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Telephone | 480-321-7026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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