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NPI 1225064470

NPI 1225064470 : PEOPLE'S CHOICE MRI : DEPEW, NY

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General NPI Number Information
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    NPI Number           |    1225064470
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    Entity Type          |    Organization 
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    Legal Business Name  |    PEOPLE'S CHOICE MRI 
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Dates
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    Enumeration Date     |    06/22/2006
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    Last Update Date     |    01/03/2008
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Provider Practice Location Address
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    Address Line         |    6420 TRANSIT RD 
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    City                 |    DEPEW
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    State                |    NY
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    Zip                  |    14043-1033
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    Country              |    US
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    Telephone            |    716-681-7377
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    Fax                  |    716-681-7302
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Provider Business Mailing Address
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    Address Line         |    908 NIAGARA FALLS BLVD SUITE 208
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    City                 |    NORTH TONAWANDA
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    State                |    NY
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    Zip                  |    14120-2019
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    Country              |    US
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    Telephone            |    716-692-3302
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    Fax                  |    716-692-4342
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     VASEEM  IQBAL 
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    Credential           |    MD
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    Telephone            |    716-681-7377
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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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