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General NPI Number Information
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NPI Number | 1154347326
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Entity Type | Organization
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Legal Business Name | ADVANCED DIAGNOSTIC IMAGING SERVICES,INC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 137 S ASPEN CT STE A
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City | VISALIA
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State | CA
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Zip | 93291-5175
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Country | US
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Telephone | 559-741-9045
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Fax | 559-741-9050
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Provider Business Mailing Address
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Address Line | 137 S ASPEN CT STE A
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City | VISALIA
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State | CA
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Zip | 93291-5175
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Country | US
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Telephone | 559-741-9045
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Fax | 559-741-9050
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LISA L BRAZIL
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Credential |
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Telephone | 559-741-9045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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