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General NPI Number Information
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NPI Number | 1912919903
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Entity Type | Organization
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Legal Business Name | ADVANCED RADIOLOGY SERVICES, INC.
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 30 GREENHAVEN CT
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City | OLDSMAR
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State | FL
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Zip | 34677-4809
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Country | US
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Telephone | 727-480-3875
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Fax |
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Provider Business Mailing Address
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Address Line | 30 GREENHAVEN CT
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City | OLDSMAR
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State | FL
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Zip | 34677-4809
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Country | US
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Telephone | 727-480-3875
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DEANNA GLENN
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Credential |
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Telephone | 727-465-0593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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