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General NPI Number Information
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NPI Number | 1689677668
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Entity Type | Organization
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Legal Business Name | CENTER FOR DIAGNOSTIC IMAGING LTD
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 1380 NE MIAMI GARDENS DR STE 115
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4708
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Country | US
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Telephone | 305-947-4461
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Fax | 305-947-4940
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Provider Business Mailing Address
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Address Line | 1380 NE MIAMI GARDENS DR STE 115
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4708
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Country | US
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Telephone | 305-947-4461
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Fax | 305-947-4940
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JOSEPH OKSEMBERG
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Credential |
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Telephone | 305-947-4461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 2755834
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License Number State | FL
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Taxonomy #2
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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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