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General NPI Number Information
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NPI Number | 1073897807
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Entity Type | Organization
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Legal Business Name | SCANQUEST IMAGING CORP.
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 16415 COLORADO AVE STE 402
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City | PARAMOUNT
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State | CA
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Zip | 90723-5052
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Country | US
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Telephone | 562-217-1244
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Fax | 562-633-6459
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Provider Business Mailing Address
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Address Line | 9457 OAK ST
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City | BELLFLOWER
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State | CA
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Zip | 90706-5205
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Country | US
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Telephone | 888-517-1326
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Fax | 562-633-6459
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JESSE JOSE MINJARES JR.
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Credential |
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Telephone | 562-217-1244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | CA
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