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General NPI Number Information
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NPI Number | 1841394178
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Entity Type | Organization
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Legal Business Name | SWALLOWING DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 05/29/2009
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Provider Practice Location Address
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Address Line | 4486 N UNIVERSITY DR
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City | LAUDERHILL
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State | FL
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Zip | 33351-4513
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Country | US
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Telephone | 954-578-4000
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Fax | 954-578-4948
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Provider Business Mailing Address
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Address Line | 11085 NW 15TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6488
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Country | US
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Telephone | 954-578-4000
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Fax | 954-578-4948
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | STACY TARAKOFSKY
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Credential |
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Telephone | 954-578-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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