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General NPI Number Information
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NPI Number | 1295176428
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Entity Type | Organization
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Legal Business Name | GLOBAL MDX
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 550 N BRAND BLVD STE 600
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City | GLENDALE
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State | CA
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Zip | 91203-1983
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Country | US
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Telephone | 818-905-6000
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Fax | 800-400-9118
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Provider Business Mailing Address
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Address Line | 550 N BRAND BLVD STE 600
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City | GLENDALE
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State | CA
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Zip | 91203-1983
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Country | US
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Telephone | 818-905-6000
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Fax | 800-400-9118
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. SATTAR MIR
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Credential |
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Telephone | 818-905-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 0002691838-0001-8
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License Number State | CA
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