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General NPI Number Information
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NPI Number | 1700881851
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Entity Type | Organization
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Legal Business Name | VISIONARY IMAGING LLC
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1100 N KENTUCKY AVE
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City | WEST PLAINS
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State | MO
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Zip | 65775-2029
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Country | US
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Telephone | 800-354-1088
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Fax | 314-631-4491
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Provider Business Mailing Address
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Address Line | 6245 LEMAY FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63129-2805
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Country | US
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Telephone | 800-354-1088
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Fax | 314-845-5669
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Authorized Official
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Title or Position | MANAGING MEMBER/OWNER
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Name | THOMAS R FRENZ
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Credential |
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Telephone | 888-275-9737
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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 | MO
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