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General NPI Number Information
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NPI Number | 1902106883
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Entity Type | Organization
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Legal Business Name | CLEAR IMAGE INC.
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 3280 SUNRISE HWY SUITE 301
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City | WANTAGH
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State | NY
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Zip | 11793-4024
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Country | US
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Telephone | 888-443-7215
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Fax |
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Provider Business Mailing Address
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Address Line | 3280 SUNRISE HWY SUITE 301
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City | WANTAGH
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State | NY
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Zip | 11793-4024
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Country | US
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Telephone | 888-443-7215
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SUZANNE MARCIANO
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Credential |
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Telephone | 888-443-7215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246ZN0300X
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Taxonomy Name | Nephrology Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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