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General NPI Number Information
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NPI Number | 1730104621
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Entity Type | Organization
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Legal Business Name | BW IMAGING INC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 114 SLADE AVE
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City | PIKESVILLE
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State | MD
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Zip | 21208-4906
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Country | US
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Telephone | 443-872-7052
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Fax | 410-400-6085
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Provider Business Mailing Address
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Address Line | 11929 GLEN MILL ROAD
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City | POTOMAC
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State | MD
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Zip | 20854
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Country | US
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Telephone | 301-208-1423
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Fax | 301-208-1423
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VLADIMIR VINNITSKY
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Credential |
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Telephone | 301-208-1423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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