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General NPI Number Information
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NPI Number | 1720453319
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Entity Type | Organization
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Legal Business Name | TOTAL DIAGNOSTIC SOLUTIONS LLC
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 8010 W COLONIAL DR STE 162
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City | ORLANDO
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State | FL
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Zip | 32818-6106
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Country | US
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Telephone | 407-930-0525
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Fax | 407-930-0565
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Provider Business Mailing Address
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Address Line | 297 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33135-1401
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Country | US
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Telephone | 305-960-7050
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Fax | 305-960-7184
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Authorized Official
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Title or Position | MGRM
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Name | CARLOS GARCIA
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Credential |
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Telephone | 305-960-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | HCC10214
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License Number State | FL
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