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General NPI Number Information
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NPI Number | 1336385459
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Entity Type | Organization
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Legal Business Name | UPLAND MRI CENTER, INC
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 959 W FOOTHILL BLVD
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City | UPLAND
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State | CA
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Zip | 91786-3729
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Country | US
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Telephone | 909-949-9006
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Fax | 909-949-4114
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Provider Business Mailing Address
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Address Line | 959 W FOOTHILL BLVD
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City | UPLAND
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State | CA
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Zip | 91786-3729
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Country | US
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Telephone | 909-949-9006
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FARHAD AMIRAKHORLOT
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Credential |
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Telephone | 909-949-9006
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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 |
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License Number State |
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