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General NPI Number Information
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NPI Number | 1508346404
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Entity Type | Organization
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Legal Business Name | VITALPOINT IMAGING CENTER
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 1300 N SANTA FE AVE
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City | PUEBLO
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State | CO
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Zip | 81003-3731
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Country | US
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Telephone | 817-614-1785
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 N SANTA FE AVE
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City | PUEBLO
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State | CO
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Zip | 81003-3731
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Country | US
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Telephone | 817-614-1785
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | ALBERT B SCHWARZER
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Credential |
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Telephone | 817-614-1785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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