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General NPI Number Information
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NPI Number | 1700884244
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Entity Type | Organization
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Legal Business Name | EXCEL MEDICAL IMAGING PL
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5626 GULF DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4020
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Country | US
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Telephone | 727-841-8212
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Fax | 727-841-9589
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Provider Business Mailing Address
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Address Line | 5626 GULF DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4020
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Country | US
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Telephone | 727-841-8212
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Fax | 727-841-9589
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DEEPAK DAS
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Credential | MD
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Telephone | 727-841-8212
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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 | FL
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