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General NPI Number Information
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NPI Number | 1093841033
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Entity Type | Organization
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Legal Business Name | PER-SE TECHNOLOGIES
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 1525 RANCHO CONEJO BLVD SUITE 201
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-1448
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Country | US
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Telephone | 805-375-8800
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Fax | 805-375-8900
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Provider Business Mailing Address
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Address Line | 1525 RANCHO CONEJO BLVD SUITE 201
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-1448
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Country | US
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Telephone | 805-375-8800
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Fax | 805-375-8900
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CHERYL LYNN WILSON
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Credential |
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Telephone | 805-375-8801
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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 | CA
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