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General NPI Number Information
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NPI Number | 1326364506
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Entity Type | Organization
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Legal Business Name | NIGHTOWL RADIOLOGY P.C.
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 2190 W SNEAD ST
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City | LA HABRA
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State | CA
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Zip | 90631-9505
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Country | US
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Telephone | 562-245-7814
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Fax |
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Provider Business Mailing Address
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Address Line | 2190 W SNEAD ST
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City | LA HABRA
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State | CA
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Zip | 90631-9505
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Country | US
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Telephone | 562-245-7814
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIKRAM M HATTI
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Credential | MD
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Telephone | 562-245-7814
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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 | A92712
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License Number State | CA
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