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General NPI Number Information
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NPI Number | 1841998473
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Entity Type | Organization
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Legal Business Name | ALLIED DIAGNOSTICS IMAGING INC
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 02/17/2024
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Provider Practice Location Address
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Address Line | 224 FRANKLIN AVE STE B1
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City | HEWLETT
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State | NY
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Zip | 11557-1940
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Country | US
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Telephone | 929-577-5686
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Fax | 929-577-5680
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Provider Business Mailing Address
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Address Line | 3300 BAILEY AVE APT C7
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City | BRONX
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State | NY
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Zip | 10463-5722
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GENESIS PICHARDO
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Credential |
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Telephone | 929-577-5686
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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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