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General NPI Number Information
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NPI Number | 1144436601
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Entity Type | Organization
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Legal Business Name | RADIOLOGY SPECIALTY IMAGING
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 1050 E WARDLOW RD
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City | LONG BEACH
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State | CA
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Zip | 90807-4736
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Country | US
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Telephone | 562-437-7773
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Fax | 562-437-1440
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Provider Business Mailing Address
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Address Line | 2201 E WILLOW ST STE D206
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City | SIGNAL HILL
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State | CA
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Zip | 90755-2148
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Country | US
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Telephone | 562-437-7773
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Fax | 562-437-1440
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. BARBARA JANICE LABEL
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Credential |
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Telephone | 866-473-7773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G10742
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License Number State | CA
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