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General NPI Number Information
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NPI Number | 1649275728
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Entity Type | Organization
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Legal Business Name | ASSOCIATED RADIOLOGISTS, INC.
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1538 KANAWHA BLVD E
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City | CHARLESTON
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State | WV
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Zip | 25311-2435
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Country | US
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Telephone | 304-344-3457
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Fax | 304-344-3480
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Provider Business Mailing Address
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Address Line | PO BOX 11137
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City | CHARLESTON
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State | WV
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Zip | 25339-1137
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Country | US
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Telephone | 304-344-3457
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Fax | 304-344-3480
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. SHELBY KING
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Credential | CPA, CEO
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Telephone | 304-344-3457
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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 | 00012
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License Number State | WV
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