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General NPI Number Information
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NPI Number | 1659398519
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Entity Type | Organization
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Legal Business Name | HURON VALLEY RADIOLOGY PC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 5333 MCAULEY DR SUITE 6016
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City | YPSILANTI
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State | MI
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Zip | 48197-1014
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Country | US
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Telephone | 734-712-8350
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Fax | 734-712-8351
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Provider Business Mailing Address
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Address Line | 5333 MCAULEY DR SUITE 6016
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City | YPSILANTI
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State | MI
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Zip | 48197-1014
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Country | US
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Telephone | 734-712-8350
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Fax | 734-712-8351
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JULIA SKIPSKI-MAYER
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Credential |
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Telephone | 734-712-8350
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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 |
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License Number State |
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