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General NPI Number Information
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NPI Number | 1104398817
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Entity Type | Organization
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Legal Business Name | VIGILANT PHYSICIANS READERS, INC
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 20331 IRVINE AVE STE E2
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-0223
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Country | US
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Telephone | 619-393-5299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 104035
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City | PASADENA
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State | CA
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Zip | 91189-4035
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Country | US
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Telephone | 619-393-5299
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TERRY SISCO
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Credential |
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Telephone | 714-322-1344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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