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General NPI Number Information
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NPI Number | 1861587149
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Entity Type | Organization
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Legal Business Name | COLUMBIA RADIOLOGY IMAGING SERVICES, LLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 311 N KEENE ST
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City | COLUMBIA
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State | MO
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Zip | 65201-6623
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Country | US
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Telephone | 573-442-1788
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Fax | 573-442-1789
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Provider Business Mailing Address
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Address Line | 311 N KEENE ST
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City | COLUMBIA
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State | MO
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Zip | 65201-6623
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Country | US
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Telephone | 573-442-1788
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Fax | 573-442-1789
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT FINANCIAL SERVI
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Name | DEBBIE JOHNSON
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Credential | CPC
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Telephone | 573-442-1788
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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 |
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License Number State |
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