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General NPI Number Information
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NPI Number | 1437394780
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Entity Type | Organization
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Legal Business Name | GIA RADIOLOGY
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 12/15/2008
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Provider Practice Location Address
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Address Line | 301 N PRAIRIE AVE #125
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City | INGLEWOOD
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State | CA
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Zip | 90301-4507
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Country | US
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Telephone | 310-412-7800
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Fax | 310-412-7801
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Provider Business Mailing Address
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Address Line | 301 N PRAIRIE AVE #125
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City | INGLEWOOD
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State | CA
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Zip | 90301-4507
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Country | US
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Telephone | 310-412-7800
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Fax | 310-412-7801
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Authorized Official
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Title or Position | CEO
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Name | ARTOUR HOVSEPIAN
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Credential |
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Telephone | 310-412-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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