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General NPI Number Information
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NPI Number | 1982020624
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Entity Type | Organization
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Legal Business Name | DIGITAL IMAGING DIAGNOSTICS, PLC
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 12798 FOREST HILL BLVD STE 204
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City | WELLINGTON
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State | FL
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Zip | 33414-4704
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Country | US
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Telephone | 561-324-0402
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Fax |
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Provider Business Mailing Address
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Address Line | 12798 FOREST HILL BLVD STE 204
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City | WELLINGTON
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State | FL
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Zip | 33414-4704
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Country | US
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Telephone | 561-324-0402
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ERIC M BAUMEL
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Credential | MD
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Telephone | 561-324-0402
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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 | ME57527
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License Number State | FL
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