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General NPI Number Information
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NPI Number | 1679648372
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Entity Type | Organization
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Legal Business Name | NATIONAL PET SCAN MANAGEMENT, LLC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 7867 N KENDALL DR STE 121
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City | MIAMI
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State | FL
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Zip | 33156-7735
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Country | US
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Telephone | 305-455-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 7867 N KENDALL DR STE 121
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City | MIAMI
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State | FL
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Zip | 33156-7735
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Country | US
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Telephone | 305-455-3000
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Fax | 305-455-2065
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | DIANA LYNN UZZELL
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Credential |
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Telephone | 904-535-8125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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