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General NPI Number Information
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NPI Number | 1801062013
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Entity Type | Organization
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Legal Business Name | RADIOLOGY IN PARADISE LLC
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 5900 COLLEGE RD
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City | KEY WEST
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State | FL
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Zip | 33040-4342
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Country | US
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Telephone | 813-254-2682
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 890618
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City | CHARLOTTE
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State | NC
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Zip | 28289-0618
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Country | US
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Telephone | 888-204-0468
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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. SANDY W SHULTZ
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Credential | MD
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Telephone | 813-254-2682
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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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