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General NPI Number Information
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NPI Number | 1306552229
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Entity Type | Organization
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Legal Business Name | CLARITY CARDIAC CT LLC
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 3770 ELIZABETH ST
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City | RIVERSIDE
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State | CA
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Zip | 92506-2527
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Country | US
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Telephone | 951-237-7331
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Fax |
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Provider Business Mailing Address
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Address Line | 3770 ELIZABETH ST
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City | RIVERSIDE
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State | CA
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Zip | 92506-2527
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Country | US
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Telephone | 951-237-7331
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MRS. NORMA ALONSO
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Credential |
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Telephone | 951-776-7246
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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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