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General NPI Number Information
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NPI Number | 1801815063
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE RADIOLOGISTS LTD
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 736 BATTLEFIELD BLVD N
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4941
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Country | US
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Telephone | 757-312-6124
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844527
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City | BOSTON
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State | MA
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Zip | 02284-4527
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Country | US
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Telephone | 757-312-6124
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Fax | 757-312-6195
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Authorized Official
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Title or Position | OWNER
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Name | DR. SRINESH ALLE III
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Credential | M.D.
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Telephone | 540-361-1000
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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 | VA
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