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General NPI Number Information
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NPI Number | 1477108884
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Entity Type | Individual
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Provider Name | KATALENA ANASTASIA SARACINO R.T. (R)(CT)(ARRT)
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Gender | Female
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Dates
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Enumeration Date | 08/03/2019
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Last Update Date | 08/03/2019
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Provider Practice Location Address
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Address Line | 1901 W LUGONIA AVE
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City | REDLANDS
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State | CA
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Zip | 92374-9703
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Country | US
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Telephone | 714-714-6019
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Fax |
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Provider Business Mailing Address
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Address Line | 11171 OAKWOOD DR APT I-102
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City | LOMA LINDA
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State | CA
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Zip | 92354
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Country | US
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Telephone | 714-714-6019
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | 568270
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number | 568270
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License Number State | CA
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