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General NPI Number Information
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NPI Number | 1396941233
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Entity Type | Organization
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Legal Business Name | PACIFIC COAST IMAGING LLC
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 2111 EXCHANGE ST
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City | ASTORIA
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State | OR
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Zip | 97103-3329
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Country | US
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Telephone | 503-338-7525
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Fax | 503-325-1765
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Provider Business Mailing Address
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Address Line | PO BOX 5329
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City | SAGINAW
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State | MI
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Zip | 48603-0329
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Country | US
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Telephone | 33-437-1285
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Fax | 503-343-7129
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Authorized Official
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Title or Position | PREIDENT/OWNER
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Name | HOUMAN SABAHI
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Credential | MD
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Telephone | 503-338-7525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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