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General NPI Number Information
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NPI Number | 1063123719
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Entity Type | Organization
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Legal Business Name | PULSE CARDIAC IMAGING INC
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 411 N CENTRAL AVE STE 200
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City | GLENDALE
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State | CA
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Zip | 91203-2092
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Country | US
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Telephone | 877-727-2331
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Fax | 818-696-1602
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Provider Business Mailing Address
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Address Line | PO BOX 5704
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-5704
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Country | US
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Telephone | 877-727-2331
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Fax | 818-696-1602
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Authorized Official
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Title or Position | OWNER
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Name | NIKI MOSSADAD-REZZADEH
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Credential |
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Telephone | 877-727-2331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State |
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