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General NPI Number Information
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NPI Number | 1912702150
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Entity Type | Organization
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Legal Business Name | TOWN CENTER IMAGING 2 LLC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 4677 COLUMBUS ST STE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6746
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Country | US
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Telephone | 757-943-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 4677 COLUMBUS ST STE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6746
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Country | US
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Telephone | 757-943-3660
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CASSIE LOWE
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Credential |
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Telephone | 513-952-5210
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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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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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