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General NPI Number Information
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NPI Number | 1386858322
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Entity Type | Organization
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Legal Business Name | IMAGING ADMINISTRATIVE SERVICES
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17150 EUCLID ST SUITE 130
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4092
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Country | US
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Telephone | 714-957-0402
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8069
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92728-8069
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAGTINDER SINGH DANG
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Credential |
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Telephone | 714-957-0402
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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 |
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License Number State |
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