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General NPI Number Information
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NPI Number | 1013961721
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Entity Type | Organization
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Legal Business Name | VALLEY NUCLEAR MEDICAL GROUP INC.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 1250 E ALMOND AVE
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City | MADERA
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State | CA
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Zip | 93637-5606
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Country | US
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Telephone | 559-675-5555
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Fax | 559-675-5591
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Provider Business Mailing Address
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Address Line | PO BOX 6102
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City | NOVATO
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State | CA
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Zip | 94948-6102
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Country | US
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Telephone | 415-884-3404
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Fax | 415-883-1836
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL PATRICK
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Credential | MD
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Telephone | 559-675-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number |
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License Number State |
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