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General NPI Number Information
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NPI Number | 1851695407
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Entity Type | Organization
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Legal Business Name | ASSOCIATION OF UNIVERSITY RADIOLOGISTS, PC
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 1415 OLD WEISGARBER RD STE 150
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City | KNOXVILLE
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State | TN
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Zip | 37909-1327
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Country | US
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Telephone | 865-692-9964
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Fax | 865-934-0944
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Provider Business Mailing Address
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Address Line | 5401 KINGSTON PIKE STE 540
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City | KNOXVILLE
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State | TN
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Zip | 37919-5022
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Country | US
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Telephone | 865-584-7376
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Fax | 865-584-8938
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. MICHAEL W LANGENBERG
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Credential |
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Telephone | 865-584-7376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine 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 | 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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