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General NPI Number Information
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NPI Number | 1841369600
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Entity Type | Organization
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Legal Business Name | MID-DELAWARE IMAGING P.A.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 710 SOUTH QUEEN STREET
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City | DOVER
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State | DE
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Zip | 19904-3567
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Country | US
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Telephone | 302-734-9888
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Fax | 302-734-2780
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Provider Business Mailing Address
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Address Line | 710 SOUTH QUEEN STREET
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City | DOVER
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State | DE
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Zip | 19904-3567
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Country | US
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Telephone | 302-734-9888
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Fax | 302-734-2780
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. MAHENDRA J PARIKH
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Credential |
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Telephone | 302-734-9888
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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 | C1 0001792
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License Number State | DE
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