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General NPI Number Information
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NPI Number | 1700912532
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Entity Type | Organization
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Legal Business Name | GEORGIA HEALTH IMAGING
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 3653 LAWRENCEVILLE HWY SUITE 150
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-4107
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Country | US
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Telephone | 678-924-0964
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Fax | 678-924-0965
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Provider Business Mailing Address
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Address Line | 3653 LAWRENCEVILLE HWY STE 150
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-4107
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Country | US
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Telephone | 678-924-0964
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Fax | 678-924-0965
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YASMIN BUDHWANI
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Credential | MBBS, RDMS
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Telephone | 678-924-0964
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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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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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