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General NPI Number Information
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NPI Number | 1154278182
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Entity Type | Organization
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Legal Business Name | DAWHAWK TELEMAMMOGRAPHY LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 415 INSPIRATIONAL DR
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City | SEDONA
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State | AZ
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Zip | 86336-5611
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Country | US
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Telephone | 928-275-2588
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Fax | 877-410-6639
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Provider Business Mailing Address
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Address Line | PO BOX 4537
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City | SEDONA
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State | AZ
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Zip | 86340-4537
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Country | US
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Telephone |
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Fax | 877-410-6639
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Authorized Official
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Title or Position | MEMBER
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Name | CHILALI VIAN
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Credential |
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Telephone | 612-345-0415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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