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General NPI Number Information
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NPI Number | 1053645267
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Entity Type | Organization
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Legal Business Name | BAY AREA RADIOLOGIC IMAGING
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 19847 CENTURY BLVD SUITE D
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City | GERMANTOWN
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State | MD
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Zip | 20874-7201
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Country | US
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Telephone | 202-256-2751
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Fax | 202-747-2928
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Provider Business Mailing Address
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Address Line | 1412 35TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20007-2805
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Country | US
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Telephone | 202-256-2751
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Fax | 202-747-2928
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER P ROTHSTEIN
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Credential | M.D.
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Telephone | 202-256-2751
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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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