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General NPI Number Information
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NPI Number | 1750377552
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Entity Type | Organization
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Legal Business Name | NATIONAL NUCLEAR CENTERS, INC
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 4224 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-966-3600
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Fax | 954-967-1962
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Provider Business Mailing Address
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Address Line | 4224 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-966-3600
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Fax | 954-967-1962
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANGEL L SOTO JR.
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Credential |
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Telephone | 954-966-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC3753
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | HCCR3753
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | HCC8933
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | HCC3753
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License Number State | FL
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