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General NPI Number Information
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NPI Number | 1659335503
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Entity Type | Organization
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Legal Business Name | BEST IMAGING GROUP INC
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Dates
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Enumeration Date | 04/15/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 601 E SAMPLE RD SUITE 103
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City | POMPANO BEACH
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State | FL
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Zip | 33064-4443
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Country | US
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Telephone | 954-946-3433
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Fax | 954-946-3464
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Provider Business Mailing Address
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Address Line | PO BOX 30566
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City | FT LAUDERDALE
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State | FL
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Zip | 33303-0566
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Country | US
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Telephone | 954-946-3433
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Fax | 954-946-3464
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. DANIEL M QUADARA
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Credential | R.D.M.S.
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Telephone | 954-946-3433
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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 | AHCA# 5676
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License Number State | FL
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