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General NPI Number Information
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NPI Number | 1659450203
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Entity Type | Organization
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Legal Business Name | ATLANTIC RADIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5085 MORGANTON RD SUITE 300
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1523
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Country | US
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Telephone | 910-429-1131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30367 DEPT 208
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City | CHARLOTTE
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State | NC
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Zip | 28230-0367
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Country | US
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Telephone | 910-429-1131
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE W EASON
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Credential | MD
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Telephone | 910-429-1131
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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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