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General NPI Number Information
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NPI Number | 1346298528
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Entity Type | Organization
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Legal Business Name | UC REGENTS
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 101 THE CITY DR S
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City | ORANGE
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State | CA
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Zip | 92868-3201
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Country | US
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Telephone | 714-456-8068
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Fax | 714-456-2979
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Provider Business Mailing Address
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Address Line | PO BOX 31001-2482
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City | PASADENA
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State | CA
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Zip | 91110-2482
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Country | US
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Telephone | 714-456-8026
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Fax |
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT MANAGER
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Name | SYLVIA COPEN
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Credential |
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Telephone | 714-456-6227
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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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Taxonomy #2
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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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