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General NPI Number Information
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NPI Number | 1487803268
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Entity Type | Organization
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Legal Business Name | CENTENNIAL MEDICAL IMAGING, LLC
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 7610 W CHEYENNE AVE SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89129-6759
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Country | US
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Telephone | 702-685-7052
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Fax |
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Provider Business Mailing Address
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Address Line | 7610 W CHEYENNE AVE SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89129-6759
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Country | US
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Telephone | 702-942-1749
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Fax | 702-685-7052
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. VINAY KUNAR BARARIA
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Credential | MD
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Telephone | 702-942-1749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Internal Medicine Physician
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License Number | 11355
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License Number State | NV
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