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General NPI Number Information
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NPI Number | 1215164934
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Entity Type | Organization
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Legal Business Name | LINEMED HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/20/2009
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Last Update Date | 06/20/2009
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Provider Practice Location Address
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Address Line | 2016 N RIVERSIDE AVE SUITE D
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City | RIALTO
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State | CA
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Zip | 92377-4655
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Country | US
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Telephone | 909-747-2718
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Fax | 909-363-7396
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Provider Business Mailing Address
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Address Line | 219 S RIVERSIDE AVE SUITE 231
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City | RIALTO
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State | CA
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Zip | 92376-6455
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Country | US
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Telephone | 909-747-2718
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Fax | 909-363-7396
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMIN M NAEINI
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Credential | M.D.
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Telephone | 909-747-2718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | A104955
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License Number State | CA
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