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General NPI Number Information
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NPI Number | 1912952482
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Entity Type | Organization
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Legal Business Name | TAMPA BAY IMAGING LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 7800 66TH ST SUITE 106
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2168
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Country | US
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Telephone | 727-545-9614
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Fax |
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Provider Business Mailing Address
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Address Line | 7800 66TH ST NORTH SUITE 106
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City | PINELLAS PARK
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State | FL
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Zip | 34655
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Country | US
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Telephone | 727-545-9674
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DARIN BARKER
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Credential |
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Telephone | 727-545-9674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | HCC3927
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License Number State | FL
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