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General NPI Number Information
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NPI Number | 1861373078
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Entity Type | Organization
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Legal Business Name | EXPERT MOBILE IMAGING CORP
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 1275 POPLAR AVE
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-1928
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Country | US
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Telephone | 901-284-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 E 14TH ST # 2609
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City | BROOKLYN
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State | NY
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Zip | 11235-3915
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Country | US
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Telephone | 901-284-3772
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. DENNIS SHAKHNOVICH
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Credential |
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Telephone | 901-284-3772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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