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General NPI Number Information
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NPI Number | 1710079462
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Entity Type | Organization
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Legal Business Name | HASTINGS RADIOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 715 N SAINT JOSEPH AVE
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City | HASTINGS
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State | NE
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Zip | 68901-4451
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Country | US
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Telephone | 402-461-5191
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Fax | 402-461-5088
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Provider Business Mailing Address
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Address Line | PO BOX 2176
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City | HASTINGS
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State | NE
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Zip | 68902-2176
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Country | US
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Telephone | 402-461-5191
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Fax | 402-461-5088
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL JOSEPH HEROLD
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Credential | M.D.
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Telephone | 402-461-5191
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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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