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General NPI Number Information
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NPI Number | 1730009614
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Entity Type | Organization
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Legal Business Name | THE MEDICAL IMAGING PARTNERSHIP-JAX1 LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 14043 N MAIN ST STE 109
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City | JACKSONVILLE
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State | FL
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Zip | 32218-1707
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Country | US
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Telephone | 904-996-8100
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Fax | 904-996-8101
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Provider Business Mailing Address
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Address Line | 1540 BUSINESS CENTER DR STE B
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-4419
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Country | US
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Telephone | 330-495-1128
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Fax | 904-389-8699
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Authorized Official
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Title or Position | DIR., REVENUE CYCLE
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Name | BETH NIEWIADOMSKI
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Credential |
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Telephone | 330-495-1128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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