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General NPI Number Information
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NPI Number | 1396169355
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Entity Type | Organization
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Legal Business Name | RADIOLOGICAL IMAGING SERVICES, INC
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 6206 1/2 NITA AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7652
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Country | US
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Telephone | 908-265-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 6206 1/2 NITA AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7652
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Country | US
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Telephone | 908-265-2472
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMIR NAHAVANDI
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Credential | RT(R)(T)
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Telephone | 908-265-2472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | RHF00096800
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License Number State | CA
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