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General NPI Number Information
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NPI Number | 1346775665
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Entity Type | Organization
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Legal Business Name | ADVANTAGE MRI ROSEVILLE LP
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 07/13/2017
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Provider Practice Location Address
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Address Line | 2990 LAVA RIDGE CT SUITE100
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City | ROSEVILLE
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State | CA
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Zip | 95661-3057
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Country | US
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Telephone | 916-929-2178
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Fax | 916-929-2178
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Provider Business Mailing Address
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Address Line | 2990 LAVA RIDGE CT SUITE100
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City | ROSEVILLE
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State | CA
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Zip | 95661-3057
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Country | US
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Telephone | 916-929-2178
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Fax | 916-929-2178
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Authorized Official
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Title or Position | CFO
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Name | MISS HANNAH SCHWARTZ
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Credential |
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Telephone | 714-479-0400
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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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