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General NPI Number Information
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NPI Number | 1649355595
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Entity Type | Organization
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Legal Business Name | DANVILLE DIAGNOSTIC IMAGING CENTER LLC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 125 EXECUTIVE DR STE. D
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City | DANVILLE
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State | VA
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Zip | 24541-4155
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Country | US
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Telephone | 434-793-1043
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Fax | 434-799-0202
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-4536
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8913
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Authorized Official
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Title or Position | SECRETARY
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Name | CHARLOTTE LAWRENCE
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Credential |
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Telephone | 615-920-7000
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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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