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General NPI Number Information
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NPI Number | 1811945306
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC HEALTH MRI OF GADSDEN, LLC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 115 SAINT CLAIR AVE SE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4343
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Country | US
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Telephone | 256-534-5600
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Fax | 256-532-2400
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Provider Business Mailing Address
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Address Line | 800 CRESCENT CENTRE DR STE 400
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City | FRANKLIN
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State | TN
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Zip | 37067-7270
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Country | US
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Telephone | 615-261-2306
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Fax | 855-588-3545
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | AMY STOUT
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Credential |
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Telephone | 615-261-2306
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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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Taxonomy #2
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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