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General NPI Number Information
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NPI Number | 1457788838
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Entity Type | Organization
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Legal Business Name | DEL MAR MEDICAL IMAGING INC
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 12264 EL CAMINO REAL 102
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City | SAN DIEGO
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State | CA
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Zip | 92130-3058
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Country | US
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Telephone | 818-382-2220
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Fax | 818-827-3480
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Provider Business Mailing Address
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Address Line | 12264 EL CAMINO REAL 102
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City | SAN DIEGO
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State | CA
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Zip | 92130-3058
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Country | US
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Telephone | 818-382-2220
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Fax | 818-827-3480
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAVAD AHMADIAN
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Credential |
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Telephone | 818-382-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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