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General NPI Number Information
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NPI Number | 1871590695
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Entity Type | Organization
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Legal Business Name | OAK RIDGE MEDICAL IMAGING
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 944 OAK RIDGE TPKE SUITE 300
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City | OAK RIDGE
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State | TN
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Zip | 37830-6959
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Country | US
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Telephone | 865-481-1904
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Fax | 865-450-9374
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Provider Business Mailing Address
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Address Line | PO BOX 10848
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City | KNOXVILLE
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State | TN
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Zip | 37939-0848
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Country | US
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Telephone | 865-481-1904
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Fax | 865-450-9374
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES I HILTON
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Credential | MD
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Telephone | 865-481-1904
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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 | TN
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