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General NPI Number Information
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NPI Number | 1962057828
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Entity Type | Organization
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Legal Business Name | ARTEMIS DIAGNOSTIC IMAGING LLC
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 318 SEGUINE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3941
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Country | US
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Telephone | 917-417-0074
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Fax |
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Provider Business Mailing Address
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Address Line | 257 MEISNER AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-1250
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Country | US
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Telephone | 917-714-0074
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAYLOR ALARIO
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Credential |
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Telephone | 917-417-0074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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