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General NPI Number Information
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NPI Number | 1457427767
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Entity Type | Organization
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Legal Business Name | TEMPLETON IMAGING MEDICAL CORPORATION INC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 262 POSADA LANE C
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City | TEMPLETON
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State | CA
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Zip | 93465
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Country | US
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Telephone | 805-434-1491
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Fax | 805-434-4997
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Provider Business Mailing Address
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Address Line | PO BOX 489 262 POSADA LANE C
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City | TEMPLETON
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State | CA
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Zip | 93465
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Country | US
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Telephone | 805-434-1491
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Fax | 805-434-4997
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES POOLE CARTLAND
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Credential | MD
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Telephone | 805-434-1491
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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 | C2061322
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License Number State | CA
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