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General NPI Number Information
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NPI Number | 1700876117
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Entity Type | Organization
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Legal Business Name | ROSEBURG RADIOLOGISTS PC
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1813 W HARVARD AVE STE 431
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City | ROSEBURG
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State | OR
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Zip | 97471-8705
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Country | US
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Telephone | 541-673-4303
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Fax | 541-440-9739
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Provider Business Mailing Address
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Address Line | PO BOX 1656
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City | EVANSVILLE
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State | IN
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Zip | 47706-0057
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Country | US
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Telephone | 541-673-4303
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Fax | 541-440-9739
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | BECKY BRIGHT-JONES
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Credential |
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Telephone | 541-464-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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