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General NPI Number Information
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NPI Number | 1376641472
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Entity Type | Organization
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Legal Business Name | ARCADIA RADIOLOGY OPEN MRI
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7200 W BELL RD BLDG B
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City | GLENDALE
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State | AZ
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Zip | 85308-8529
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Country | US
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Telephone | 623-487-7000
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Fax | 623-487-7777
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Provider Business Mailing Address
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Address Line | PO BOX 15628
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City | PHOENIX
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State | AZ
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Zip | 85060-5628
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Country | US
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Telephone | 623-487-7000
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Fax | 623-487-7777
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | RACHEL CASTRO
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Credential |
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Telephone | 623-889-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 14587
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License Number State | AZ
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