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General NPI Number Information
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NPI Number | 1699824888
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Entity Type | Organization
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Legal Business Name | HIALEAH IMAGING CORP
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 1681 W 37TH ST # 18-19
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City | HIALEAH
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State | FL
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Zip | 33012-4651
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Country | US
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Telephone | 305-819-0004
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Fax | 305-819-3727
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Provider Business Mailing Address
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Address Line | 1681 W 37TH ST # 18-19
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City | HIALEAH
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State | FL
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Zip | 33012-4651
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Country | US
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Telephone | 305-819-0004
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Fax | 305-819-3727
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIO RAMIREZ
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Credential |
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Telephone | 305-819-0004
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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 | HCC5186
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License Number State | FL
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