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General NPI Number Information
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NPI Number | 1033163548
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Entity Type | Organization
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Legal Business Name | MAGNETIC IMAGING MEDICAL GROUP INC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 8515 FLORENCE AVE STE 100
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City | DOWNEY
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State | CA
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Zip | 90240-4043
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Country | US
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Telephone | 561-904-1340
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Fax | 562-869-8606
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Provider Business Mailing Address
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Address Line | DEPT. WS200 PO BOX 509015
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City | SAN DIEGO
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State | CA
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Zip | 92150-9015
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Country | US
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Telephone | 866-674-7933
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Fax | 952-513-6880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOEL B LEVINE
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Credential | M.D.
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Telephone | 561-904-1340
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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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