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General NPI Number Information
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NPI Number | 1790718096
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Entity Type | Organization
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Legal Business Name | TAMPA BAY IMAGING LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 2700 W DR MARTIN LUTHER KING JR BLVD SUITE 130
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City | TAMPA
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State | FL
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Zip | 33607-6386
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Country | US
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Telephone | 813-386-3674
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Fax | 813-386-0499
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Provider Business Mailing Address
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Address Line | 2700 W DR MARTIN LUTHER KING JR BLVD SUITE 130
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City | TAMPA
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State | FL
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Zip | 33607-6386
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Country | US
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Telephone | 813-386-3674
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Fax | 813-386-0499
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DARIN BARKER
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Credential |
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Telephone | 813-386-3674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | HCC5727
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License Number State | FL
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