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General NPI Number Information
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NPI Number | 1215361951
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Entity Type | Organization
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Legal Business Name | HEALTH DIAGNOSTICS OF CALIFORNIA, LLC
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 105 SOUTH DR SUITE 110
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4311
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Country | US
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Telephone | 650-254-1355
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Fax | 650-254-1354
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Provider Business Mailing Address
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Address Line | 6900 E CAMELBACK RD SUITE 700
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-2431
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Country | US
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Telephone | 480-478-6545
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Fax | 623-322-0538
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD SIMON
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Credential | MD
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Telephone | 480-478-6545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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