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General NPI Number Information
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NPI Number | 1821457805
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Entity Type | Organization
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Legal Business Name | PHYSICIAN IMAGING SOLUTIONS INC
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 1000 EAGLE RIDGE DR SUITE F
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City | SCHERERVILLE
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State | IN
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Zip | 46375-4207
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Country | US
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Telephone | 219-322-6301
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 EAGLE RIDGE DR SUITE F
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City | SCHERERVILLE
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State | IN
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Zip | 46375-4207
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Country | US
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Telephone | 219-322-6301
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA DYBCIO
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Credential |
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Telephone | 708-362-2707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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