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General NPI Number Information
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NPI Number | 1790750966
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC RADIOLOGY ASSOCIATES OF FLINT PC
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 501 S BALLENGER HWY SUITE B
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City | FLINT
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State | MI
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Zip | 48532-3641
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Country | US
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Telephone | 810-342-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 501 S BALLENGER HWY SUITE B
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City | FLINT
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State | MI
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Zip | 48532-3641
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Country | US
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Telephone | 810-342-4800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA L LAWRENCE
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Credential | MD
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Telephone | 810-342-4800
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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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