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General NPI Number Information
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NPI Number | 1659665354
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Entity Type | Organization
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Legal Business Name | CURRENT LLC
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 2621 WHITTLE AVE # 1
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City | MEDFORD
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State | OR
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Zip | 97504-4719
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Country | US
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Telephone | 541-512-8733
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Fax | 541-618-6779
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Provider Business Mailing Address
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Address Line | 2621 WHITTLE AVE # 1
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City | MEDFORD
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State | OR
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Zip | 97504-4719
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Country | US
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Telephone | 541-512-8733
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Fax | 541-618-6779
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Authorized Official
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Title or Position | OWNER
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Name | MR. BIRON M CARITHERS
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Credential |
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Telephone | 541-512-8733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 909048
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License Number State | OR
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