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General NPI Number Information
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NPI Number | 1801194816
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Entity Type | Organization
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Legal Business Name | PLATINUM IMAGING INC
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 4450 SOUTH BLVD SUITE 4
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City | CHARLOTTE
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State | NC
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Zip | 28209-2673
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Country | US
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Telephone | 704-996-4341
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Fax | 866-936-2017
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Provider Business Mailing Address
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Address Line | 1416 JACK WHITE DR
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City | ROCK HILL
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State | SC
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Zip | 29732-7712
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Country | US
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Telephone | 704-996-4341
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Fax | 866-936-2017
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL W HASELRIG
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Credential | RTR
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Telephone | 704-996-4341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246X00000X
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Taxonomy Name | Cardiovascular Specialist/Technologist
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License Number |
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License Number State |
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