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General NPI Number Information
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NPI Number | 1275578080
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Entity Type | Organization
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Legal Business Name | LAS VEGAS RADIOLOGISTS, INC.
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2650 N TENAYA WAY SUITE 160
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City | LAS VEGAS
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State | NV
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Zip | 89128-1102
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Country | US
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Telephone | 702-952-3640
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Fax | 702-952-3699
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Provider Business Mailing Address
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Address Line | 1551 CORONA HILL CT
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City | LAS VEGAS
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State | NV
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Zip | 89123-5877
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Country | US
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Telephone | 702-526-9127
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Fax | 702-896-1086
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALICE HUNG POON-CHUE
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Credential | M.D.
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Telephone | 702-526-9127
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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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