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General NPI Number Information
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NPI Number | 1801206669
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Entity Type | Organization
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Legal Business Name | E-RADIOLOGY LLC
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 1241 WOODLAND AVE
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City | MT PLEASANT
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State | SC
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Zip | 29464-3288
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Country | US
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Telephone | 843-881-4020
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Fax | 843-824-0909
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Provider Business Mailing Address
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Address Line | 1241 WOODLAND AVE
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City | MT PLEASANT
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State | SC
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Zip | 29464-3288
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Country | US
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Telephone | 843-881-4020
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Fax | 843-824-0909
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Authorized Official
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Title or Position | FACILITY MANAGER
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Name | MS. VICKI RICHTER
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Credential |
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Telephone | 843-881-4020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | SC
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