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General NPI Number Information
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NPI Number | 1700043080
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Entity Type | Organization
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Legal Business Name | NATIONWIDE IMAGING INC
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 5722 S FLAMINGO RD 318
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City | COOPER CITY
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State | FL
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Zip | 33330-3206
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Country | US
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Telephone | 954-448-3597
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Fax | 954-438-8812
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Provider Business Mailing Address
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Address Line | 5722 S FLAMINGO ROAD 318
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City | FORT LAUDERDALE
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State | FL
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Zip | 33330
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Country | US
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Telephone | 954-448-3597
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Fax | 954-438-8812
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Authorized Official
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Title or Position | CEO
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Name | CRAIG RUBIN
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Credential |
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Telephone | 954-448-3597
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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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