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General NPI Number Information
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NPI Number | 1407332703
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Entity Type | Organization
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Legal Business Name | QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C.
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 252 E BOCA RATON RD
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City | BOCA RATON
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State | FL
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Zip | 33432-4063
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Country | US
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Telephone | 559-455-4127
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 72012
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City | CLEVELAND
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State | OH
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Zip | 44192-0002
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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 | CFO
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Name | FRANCIS FERRARO
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Credential | MD
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Telephone | 559-455-4127
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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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