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NPI 1790301661

NPI 1790301661 : CLEAR VIEW DIAGNOSTIC CORP : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1790301661
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLEAR VIEW DIAGNOSTIC CORP 
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Dates
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    Enumeration Date     |    06/17/2020
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    Last Update Date     |    02/21/2025
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Provider Practice Location Address
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    Address Line         |    8076 S ORANGE BLOSSOM TRL 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32809-7670
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    Country              |    US
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    Telephone            |    407-704-3333
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    Fax                  |    407-601-1963
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Provider Business Mailing Address
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    Address Line         |    8076 S ORANGE BLOSSOM TRL 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32809-7670
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    Country              |    US
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    Telephone            |    407-704-3333
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    Fax                  |    407-601-1963
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     ROSE  PAGAN 
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    Credential           |    
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    Telephone            |    321-437-5800
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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       |    
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    License Number State |    
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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       |    
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    License Number State |    
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Taxonomy #3
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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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