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General NPI Number Information
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NPI Number | 1306190467
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Entity Type | Organization
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Legal Business Name | DJ DIAGNOSTIC SERVICES INC
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Dates
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Enumeration Date | 10/28/2012
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 7345 TOPANGA CANYON BLVD
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City | CANOGA PARK
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State | CA
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Zip | 91303
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Country | US
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Telephone | 818-945-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 7345 TOPANGA CANYON BLVD
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City | CANOGA PARK
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State | CA
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Zip | 91303-1244
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Country | US
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Telephone | 818-945-2229
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Fax | 818-745-2229
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Authorized Official
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Title or Position | CEO
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Name | DAVIT BAKHCHINYAN
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Credential | RDMS / RVT
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Telephone | 323-528-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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