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General NPI Number Information
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NPI Number | 1396703179
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Entity Type | Organization
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Legal Business Name | VALLEY RADIOLOGY MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 2281 PARAGON DR SUITE 400
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City | SAN JOSE
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State | CA
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Zip | 95131-1307
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Country | US
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Telephone | 408-961-2649
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Fax | 408-244-6596
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Provider Business Mailing Address
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Address Line | 2281 PARAGON DR
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City | SAN JOSE
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State | CA
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Zip | 95131-1307
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Country | US
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Telephone | 408-961-2649
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Fax | 408-244-6596
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA MATSUMOTO
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Credential | M.D.
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Telephone | 408-244-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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