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NPI 1093784415

NPI 1093784415 : INSIGHT HEALTH CORP : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1093784415
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    Entity Type          |    Organization 
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    Legal Business Name  |    INSIGHT HEALTH CORP 
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Dates
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    Enumeration Date     |    03/16/2006
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    Last Update Date     |    12/20/2013
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Provider Practice Location Address
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    Address Line         |    9139 W THUNDERBIRD RD STE 112
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85381-4816
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    Country              |    US
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    Telephone            |    623-875-1637
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    Fax                  |    623-875-1935
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Provider Business Mailing Address
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    Address Line         |    FILE 57174 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90074-7174
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    Country              |    US
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    Telephone            |    949-282-6000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF FINANCIAL OFFICER; TREASURER
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    Name                 |     JAMES F. STANLEY 
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    Credential           |    
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    Telephone            |    949-282-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    293D00000X
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    Taxonomy Name        |    Physiological Laboratory
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    License Number       |    
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    License Number State |    
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