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General NPI Number Information
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NPI Number | 1083932925
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Entity Type | Organization
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Legal Business Name | ECHO ON-SITE MOBILE IMAGING, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/15/2010
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 11510 PRIVET PL
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9332
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Country | US
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Telephone | 661-310-0722
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Fax | 661-200-5511
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Provider Business Mailing Address
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Address Line | 11510 PRIVET PL
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9332
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Country | US
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Telephone | 661-310-0722
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Fax | 661-200-5511
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. YALCIN HACIOGLU
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Credential | M.D.
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Telephone | 661-310-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | A90677
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A90677
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License Number State | CA
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