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General NPI Number Information
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NPI Number | 1962747907
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Entity Type | Organization
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Legal Business Name | PARADIGM IMAGING, L.L.C.
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 64301 HIGHWAY 434
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City | LACOMBE
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State | LA
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Zip | 70445-5411
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Country | US
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Telephone | 985-801-0581
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Fax | 985-871-8109
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Provider Business Mailing Address
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Address Line | PO BOX 1951
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City | MANDEVILLE
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State | LA
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Zip | 70470-1951
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Country | US
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Telephone | 985-801-0571
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Fax | 985-871-8109
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Authorized Official
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Title or Position | CEO
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Name | MR. GREGG J MOREAU
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Credential |
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Telephone | 985-801-0571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number |
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License Number State |
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