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General NPI Number Information
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NPI Number | 1720227259
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Entity Type | Organization
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Legal Business Name | QUALITY RADIOLOGY GROUP, INC.
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 02/06/2009
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Provider Practice Location Address
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Address Line | 315 BOULEVARD NE SUITE 224
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City | ATLANTA
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State | GA
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Zip | 30312
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Country | US
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Telephone | 404-754-1640
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Fax |
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Provider Business Mailing Address
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Address Line | 6382 LAUREL POST COURT
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City | LITHONIA
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State | GA
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Zip | 30058
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Country | US
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Telephone | 404-754-1640
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | RICHARD ANDREW WHITE III
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Credential | RT,(R)
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Telephone | 404-754-1640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 136391LGB
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License Number State | GA
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