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General NPI Number Information
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NPI Number | 1922037043
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Entity Type | Organization
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Legal Business Name | RADIOLOGY CONSULTANTS OF LYNCHBURG INC
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 113 NATIONWIDE DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-4272
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Country | US
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Telephone | 434-237-4004
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Fax | 434-237-4450
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Provider Business Mailing Address
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Address Line | 113 NATIONWIDE DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-4272
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Country | US
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Telephone | 434-237-4004
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Fax | 434-237-4450
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEAN N. HIGGINSON
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Credential | MD
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Telephone | 434-237-4004
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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 |
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License Number State |
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