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General NPI Number Information
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NPI Number | 1740366764
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Entity Type | Organization
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Legal Business Name | AFO IMAGING INC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 3104 W WATERS AVE SUITE 106
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City | TAMPA
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State | FL
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Zip | 33614-2800
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Country | US
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Telephone | 813-463-4444
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Fax | 813-849-6349
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Provider Business Mailing Address
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Address Line | 8300 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-5406
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Country | US
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Telephone | 754-206-6226
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT & ASSOCIATE GENERAL
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Name | MR. GREG GAMBILL
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Credential |
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Telephone | 303-414-2037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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