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General NPI Number Information
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NPI Number | 1235161480
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Entity Type | Organization
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Legal Business Name | MEDICAL DOCTORS IMAGING INC A MEDICAL GROUP
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 2020 COURT ST
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City | REDDING
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State | CA
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Zip | 96001-1822
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Country | US
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Telephone | 530-243-1236
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Fax | 530-243-8502
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Provider Business Mailing Address
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Address Line | PO BOX 49976
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City | LOS ANGELES
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State | CA
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Zip | 90084-9976
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Country | US
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Telephone | 530-241-0473
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Fax | 530-241-5377
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Authorized Official
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Title or Position | CFO/CPA
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Name | RICHARD SLEPICKA
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Credential |
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Telephone | 530-243-1236
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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 | CA
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