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General NPI Number Information
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NPI Number | 1992084172
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Entity Type | Organization
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Legal Business Name | ACCURATE MEDICAL DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 660 KATHERINE DR
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City | JACKSON
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State | MS
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Zip | 39232-8847
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Country | US
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Telephone | 601-664-6677
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Fax | 601-510-9417
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Provider Business Mailing Address
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Address Line | PO BOX 13097
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City | JACKSON
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State | MS
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Zip | 39236-3097
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Country | US
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Telephone | 601-664-6677
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Fax | 601-510-9417
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. BURWELL BARTON
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Credential |
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Telephone | 601-664-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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