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General NPI Number Information
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NPI Number | 1174032791
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Entity Type | Organization
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Legal Business Name | F&M RADIOLOGY MEDICAL CENTER INC
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 20011 VENTURA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2573
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Country | US
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Telephone | 818-708-6163
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Fax | 818-340-5537
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Provider Business Mailing Address
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Address Line | 20011 VENTURA BLVD 1002
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City | WOODLAND HILLS
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State | CA
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Zip | 91364
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Country | US
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Telephone | 818-708-6163
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Fax | 818-340-5537
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RAY SALARI
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Credential | M.D.
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Telephone | 818-708-6163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care 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 | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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Taxonomy #3
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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Taxonomy #6
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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Taxonomy #7
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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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