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General NPI Number Information
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NPI Number | 1194154112
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Entity Type | Organization
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Legal Business Name | SOCAL MRI CENTERS
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 8891 CENTRAL AVE SUITE C
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City | MONTCLAIR
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State | CA
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Zip | 91763-1618
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Country | US
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Telephone | 909-624-8910
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Fax | 909-912-8033
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Provider Business Mailing Address
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Address Line | 8891 CENTRAL AVE SUITE C
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City | MONTCLAIR
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State | CA
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Zip | 91763-1618
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Country | US
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Telephone | 909-624-8910
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Fax | 909-912-8033
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HARRY GOLBAHAR
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Credential |
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Telephone | 909-624-8910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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