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General NPI Number Information
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NPI Number | 1942587704
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Entity Type | Organization
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Legal Business Name | DIGITAL IMAGING SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 2340 S RANGE AVE
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-5216
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Country | US
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Telephone | 225-665-6202
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Fax | 225-490-4994
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Provider Business Mailing Address
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Address Line | PO BOX 53662
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City | LAFAYETTE
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State | LA
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Zip | 70505-3662
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Country | US
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Telephone | 225-675-8363
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Fax | 866-220-3712
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. CHARLES S GREESON
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Credential | MD
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Telephone | 877-378-4643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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