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General NPI Number Information
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NPI Number | 1932281896
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Entity Type | Organization
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Legal Business Name | TENDER CARE MOBILE X-RAY COMP., INC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 1278 E DIVISION RD
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City | VEEDERSBURG
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State | IN
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Zip | 47987-8307
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Country | US
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Telephone | 765-294-2585
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Fax | 765-273-5400
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Provider Business Mailing Address
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Address Line | 1278 E DIVISION RD
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City | VEEDERSBURG
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State | IN
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Zip | 47987-8307
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Country | US
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Telephone | 765-294-2585
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Fax | 765-273-5400
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Authorized Official
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Title or Position | PRESIDENT OWNER OPERATOR
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Name | MRS. LORITA BETH DILLON
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Credential | BS RT (R)
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Telephone | 765-294-2585
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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 | 335633
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License Number State | IN
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