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General NPI Number Information
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NPI Number | 1922035443
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Entity Type | Organization
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Legal Business Name | DOWNTOWN RADIOLOGY INC
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 123 N. 19TH ST. 123 N. 19TH ST.
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City | MIDDLESBORO
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State | KY
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Zip | 40965-4623
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Country | US
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Telephone | 606-248-3171
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Fax | 606-248-3206
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Provider Business Mailing Address
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Address Line | 123 N 19TH ST
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City | MIDDLESBORO
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State | KY
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Zip | 40965-2865
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Country | US
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Telephone | 606-248-3171
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Fax | 606-248-3206
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LULA M. BAKER
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Credential | MANAGER
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Telephone | 606-248-3171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | 730019
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number | 269570
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License Number State | KY
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