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General NPI Number Information
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NPI Number | 1497914790
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Entity Type | Organization
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Legal Business Name | RADIOLOGY CONSULTANTS OF WASHINGTON, INC., P.S.
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 3131 NASSAU ST SUITE 102
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City | EVERETT
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State | WA
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Zip | 98201-4137
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Country | US
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Telephone | 425-740-5000
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Fax | 425-740-5010
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Provider Business Mailing Address
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Address Line | PO BOX 94624
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City | SEATTLE
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State | WA
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Zip | 98124-6924
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Country | US
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Telephone | 952-542-8553
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Fax | 952-513-6880
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. CALIXTO T. DIMAS
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Credential | M.D.
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Telephone | 425-821-3472
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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 |
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License Number State | WA
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