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General NPI Number Information
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NPI Number | 1114512704
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Entity Type | Organization
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Legal Business Name | SUNSHINE IMAGING CENTER,INC
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 14545 VICTORY BLVD # 608
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City | VAN NUYS
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State | CA
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Zip | 91411-1620
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Country | US
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Telephone | 818-245-1972
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Fax |
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Provider Business Mailing Address
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Address Line | 14545 VICTORY BLVD # 608
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City | VAN NUYS
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State | CA
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Zip | 91411-1620
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Country | US
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Telephone | 818-245-1972
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Fax | 424-581-0025
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Authorized Official
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Title or Position | CASE MANAGER
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Name | BELKIN VLADIMIR
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Credential | RN
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Telephone | 818-245-1972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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