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General NPI Number Information
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NPI Number | 1972785574
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Entity Type | Organization
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Legal Business Name | SELECT RADIOLOGY CENTERS INC
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 8462 NORTHCLIFFE BLVD
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City | SPRING HILL
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State | FL
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Zip | 34606-1140
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Country | US
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Telephone | 352-688-7377
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Fax | 352-688-2644
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Provider Business Mailing Address
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Address Line | 8462 NORTHCLIFFE BLVD
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City | SPRING HILL
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State | FL
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Zip | 34606-1140
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Country | US
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Telephone | 352-688-7377
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Fax | 352-688-2644
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JAVIER SANCHEZ
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Credential |
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Telephone | 352-688-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | ME91333
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License Number State | FL
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