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General NPI Number Information
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NPI Number | 1528091527
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Entity Type | Organization
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Legal Business Name | BREAST IMAGING ASSOCIATES, P.S.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 1135 116TH AVE NE SUITE 250
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City | BELLEVUE
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State | WA
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Zip | 98004-4623
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Country | US
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Telephone | 425-688-5985
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Fax | 425-467-3685
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Provider Business Mailing Address
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Address Line | PO BOX 24905
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City | SEATTLE
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State | WA
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Zip | 98124-0905
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Country | US
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Telephone | 888-846-5527
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Fax | 607-324-2369
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Authorized Official
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Title or Position | PARTNER
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Name | DAVID MAGARAM
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Credential | M.D.
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Telephone | 425-688-5985
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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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