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General NPI Number Information
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NPI Number | 1669405106
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Entity Type | Organization
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Legal Business Name | RALEIGH RADIOLOGY INC.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1710 HARPER RD
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City | BECKLEY
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State | WV
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Zip | 25801-3357
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Country | US
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Telephone | 304-256-4100
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Fax | 540-776-6856
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Provider Business Mailing Address
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Address Line | PO BOX 744098
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City | ATLANTA
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State | GA
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Zip | 30384-4098
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Country | US
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Telephone | 866-953-5869
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Fax | 866-390-0003
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Authorized Official
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Title or Position | PRESIDENT
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Name | HENRY L SETLIFF
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Credential | MD
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Telephone | 540-266-9306
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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 | 14664
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License Number State | WV
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