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General NPI Number Information
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NPI Number | 1801982756
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Entity Type | Organization
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Legal Business Name | CEDARS DIAGNOSTIC LABS INC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 5422 CARRIER DR SUITE 306
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City | ORLANDO
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State | FL
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Zip | 32819-8394
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Country | US
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Telephone | 407-354-1222
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Fax | 407-354-0065
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Provider Business Mailing Address
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Address Line | 5422 CARRIER DR SUITE 306
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City | ORLANDO
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State | FL
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Zip | 32819-8394
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Country | US
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Telephone | 407-354-1222
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Fax | 407-354-0065
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Authorized Official
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Title or Position | CFO
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Name | JERRY BALTER
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Credential |
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Telephone | 407-354-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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