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General NPI Number Information
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NPI Number | 1538063623
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Entity Type | Organization
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Legal Business Name | PRIME ECHO IMAGING LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 1239 RUBERTA AVE
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City | GLENDALE
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State | CA
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Zip | 91201-1407
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Country | US
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Telephone | 818-484-1155
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Fax |
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Provider Business Mailing Address
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Address Line | 1239 RUBERTA AVE
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City | GLENDALE
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State | CA
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Zip | 91201-1407
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RENE ALEXANDER
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Credential |
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Telephone | 818-653-3656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State | NULL
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