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General NPI Number Information
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NPI Number | 1881851061
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Entity Type | Organization
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Legal Business Name | CDI OHIO, LLC
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 866 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43222-1421
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Country | US
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Telephone | 614-221-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 5775 WAYZATA BLVD SUITE 400
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-1222
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER (CFO)
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Name | JAMES F. STANLEY
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Credential |
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Telephone | 952-543-6504
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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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