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General NPI Number Information
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NPI Number | 1962314286
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Entity Type | Organization
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Legal Business Name | RADIOLOGY OF MSMC, LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 4310 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2840
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Country | US
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Telephone | 305-535-3300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11550
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City | MIAMI
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State | FL
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Zip | 33101-1550
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Country | US
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Telephone | 305-674-2680
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Fax |
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Authorized Official
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Title or Position | COO
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Name | WAYNE CHUTKAN
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Credential |
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Telephone | 305-674-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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