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General NPI Number Information
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NPI Number | 1538114962
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Entity Type | Organization
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Legal Business Name | NATIONAL RADIOLOGICAL IMAGING ASSOCIATES, INC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 12/27/2013
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Provider Practice Location Address
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Address Line | 9281 OFFICE PARK CIR STE 115
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City | ELK GROVE
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State | CA
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Zip | 95758
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Country | US
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Telephone | 916-691-4401
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Fax | 916-691-4402
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Provider Business Mailing Address
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Address Line | PO BOX 320576
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City | LOS GATOS
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State | CA
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Zip | 95032
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Country | US
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Telephone | 916-691-4401
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Fax | 916-691-4402
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Authorized Official
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Title or Position | PRES
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Name | JOEL CHOE
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Credential | D.C.
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Telephone | 916-691-4401
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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 | G75490
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License Number State | CA
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