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General NPI Number Information
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NPI Number | 1134631427
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Entity Type | Organization
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Legal Business Name | PALIWAL DIAGNOSTIC IMAGING
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 3800 JANES RD
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City | ARCATA
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State | CA
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Zip | 95521-4742
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Country | US
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Telephone | 602-492-1933
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Fax |
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Provider Business Mailing Address
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Address Line | 40 WOLF RD UNIT 42
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City | LEBANON
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State | NH
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Zip | 03766-1946
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Country | US
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Telephone | 602-492-1933
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AKSHAT PALIWAL
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Credential | MD
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Telephone | 602-492-1933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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License Number State |
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