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General NPI Number Information
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NPI Number | 1699711093
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Entity Type | Organization
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Legal Business Name | RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1001 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4453
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Country | US
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Telephone | 540-741-1571
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Fax | 540-361-7010
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Provider Business Mailing Address
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Address Line | PO BOX 825855
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5855
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Country | US
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Telephone | 540-361-1000
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Fax | 540-361-7010
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER MEYER
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Credential | MD
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Telephone | 540-361-1000
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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 |
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License Number State |
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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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