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General NPI Number Information
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NPI Number | 1326359910
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Entity Type | Organization
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Legal Business Name | PSI RADIOLOGIST GROUP, PC
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 06/17/2011
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Provider Practice Location Address
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Address Line | 561 E JEFFERSON AVE
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City | DETROIT
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State | MI
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Zip | 48226-4324
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Country | US
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Telephone | 313-964-9072
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Fax | 313-964-9407
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Provider Business Mailing Address
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Address Line | 547 E JEFFERSON AVE
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City | DETROIT
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State | MI
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Zip | 48226-4324
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Country | US
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Telephone | 313-962-2133
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Fax | 313-962-2134
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Authorized Official
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Title or Position | RADIOLOGIST
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Name | DR. VICTOR COLLADO
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Credential | M.D. PHD
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Telephone | 313-964-9072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 4301024834
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number |
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Taxonomy #7
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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Taxonomy #8
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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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