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General NPI Number Information
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NPI Number | 1720017999
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Entity Type | Organization
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Legal Business Name | HILLCREST RADIOLOGY ASSOCIATES, INC
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 6780 MAYFIELD RD
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City | MAYFIELD HTS
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State | OH
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Zip | 44124-2203
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Country | US
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Telephone | 440-312-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 GOLDEN GATE BLVD SUITE 250
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City | MAYFIELD HTS
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State | OH
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Zip | 44124-3420
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Country | US
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Telephone | 440-605-1560
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Fax | 440-605-1563
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Authorized Official
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Title or Position | M.D.
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Name | DR. MICHAEL A CHRISTIAN
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Credential | M.D.
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Telephone | 440-312-4264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State | OH
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Taxonomy #4
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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 | OH
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