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General NPI Number Information
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NPI Number | 1770633224
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Entity Type | Organization
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Legal Business Name | BLAIR RADIOLOGIC ASSOCIATES LTD
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1642 OLD ROUTE 220 N
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-8302
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Country | US
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Telephone | 814-696-4775
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Fax | 814-687-4264
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Provider Business Mailing Address
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Address Line | 1642 OLD ROUTE 220 N
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-8302
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Country | US
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Telephone | 814-696-4775
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Fax | 814-687-4264
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN STANKIEWICZ
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Credential | M.D.
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Telephone | 814-696-4775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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