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General NPI Number Information
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NPI Number | 1902855976
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC HEALTH CORPORATION
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300 CROWN COLONY DR
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City | QUINCY
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State | MA
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Zip | 02169-0902
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Country | US
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Telephone | 617-472-1575
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Fax | 617-472-8674
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Provider Business Mailing Address
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Address Line | 2300 CROWN COLONY DR
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City | QUINCY
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State | MA
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Zip | 02169-0902
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Country | US
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Telephone | 617-472-1575
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Fax | 617-472-8674
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MRS. SHERI K MILLER
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Credential |
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Telephone | 205-685-5116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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