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General NPI Number Information
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NPI Number | 1952295024
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Entity Type | Organization
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Legal Business Name | INDEPENDENT MEDICAL CONSULTANTS LLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 224 W AVENUE A
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City | BISMARCK
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State | ND
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Zip | 58501-3734
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Country | US
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Telephone | 701-333-8354
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Fax | 701-264-8079
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Provider Business Mailing Address
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Address Line | 224 W AVENUE A
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City | BISMARCK
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State | ND
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Zip | 58501-3734
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Country | US
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Telephone | 701-426-9351
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Fax | 701-264-8079
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Authorized Official
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Title or Position | CHIEF OF STAFF
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Name | CARLA BARRIOS
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Credential | MS BSRT RPA RRA
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Telephone | 701-426-9351
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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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