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General NPI Number Information
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NPI Number | 1861997678
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Entity Type | Organization
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Legal Business Name | HARFORD X-RAY SERVICES LLC
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 615 W MACPHAIL RD STE 106B
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City | BEL AIR
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State | MD
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Zip | 21014
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Country | US
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Telephone | 410-529-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 3814 E JOPPA RD
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City | BALTIMORE
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State | MD
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Zip | 21236-2203
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Country | US
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Telephone | 410-529-6666
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Fax | 410-529-0019
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Authorized Official
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Title or Position | BILLING
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Name | HEATHER LYNN YINGLING
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Credential |
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Telephone | 410-529-6666
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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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