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General NPI Number Information
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NPI Number | 1144480773
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Entity Type | Organization
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Legal Business Name | VALLEY CENTRAL IMAGING INC
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 450 GREENFIELD AVE DEPARTMENT OF RADIOLOGY
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City | HANFORD
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State | CA
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Zip | 93230-3513
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Country | US
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Telephone | 559-582-9000
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Fax | 559-585-5230
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Provider Business Mailing Address
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Address Line | DEPT LA 21620
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City | PASADENA
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State | CA
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Zip | 91185-0001
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Country | US
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Telephone | 866-752-2080
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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. KAMRAN KOOCHEK
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Credential | M.D.
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Telephone | 760-265-2434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State | CA
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Taxonomy #2
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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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