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General NPI Number Information
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NPI Number | 1760428171
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY DAIGNOSTIC & IMAGING CENTERS, LLC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2001 10TH AVE N STE 6
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City | LAKE WORTH
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State | FL
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Zip | 33461-3362
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Country | US
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Telephone | 561-585-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 10TH AVE N STE 6
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City | LAKE WORTH
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State | FL
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Zip | 33461-3362
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Country | US
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Telephone | 561-585-4500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD N CHIN
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Credential |
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Telephone | 561-324-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 5113 AND 5433
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License Number State | FL
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