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General NPI Number Information
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NPI Number | 1649916594
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Entity Type | Organization
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Legal Business Name | ADVENTHEALTH IMAGING TRAINING CENTER
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 25 SOUTH TERRY AVE STE 220
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City | ORLANDO
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State | FL
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Zip | 32805
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Country | US
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Telephone | 407-641-2446
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Fax | 407-641-2447
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Provider Business Mailing Address
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Address Line | 25 SOUTH TERRY AVE STE 220
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City | ORLANDO
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State | FL
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Zip | 32805
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Country | US
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Telephone | 407-641-2446
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Fax | 407-641-2447
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Authorized Official
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Title or Position | VP/CFO
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Name | MICHAEL MAZERES
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Credential |
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Telephone | 407-200-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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