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General NPI Number Information
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NPI Number | 1780753228
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Entity Type | Organization
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Legal Business Name | RISING SUN RADIOLOGY, P.L.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 900 N ROBERTS AVE
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City | ARCADIA
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State | FL
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Zip | 34266-8765
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Country | US
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Telephone | 863-494-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 3264 WALTER TRAVIS DR
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City | SARASOTA
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State | FL
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Zip | 34240-8644
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Country | US
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Telephone | 941-323-0463
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Fax | 770-237-4950
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. UDAYAN AGRAWAL
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Credential | M.D.
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Telephone | 727-896-3134
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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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