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General NPI Number Information
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NPI Number | 1023155017
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Entity Type | Organization
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Legal Business Name | COAST RADIOLOGY MEDICAL ASSOCIATES A CALIFORNIA GENERAL PARTNERSHIP
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 345 S HALCYON RD
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-3896
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Country | US
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Telephone | 805-434-4989
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Fax | 805-434-0721
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Provider Business Mailing Address
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Address Line | PO BOX 1507
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City | TEMPLETON
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State | CA
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Zip | 93465-1507
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Country | US
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Telephone | 805-434-4989
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Fax | 805-434-0721
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Authorized Official
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Title or Position | PARTNER
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Name | WILLIAM ASHELY
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Credential | MD
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Telephone | 805-473-7676
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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 |
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License Number State |
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