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General NPI Number Information
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NPI Number | 1538700588
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Entity Type | Organization
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Legal Business Name | CENTRAL VALLEY MEDICAL IMAGING, LLC
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 1125 E SPRUCE AVE STE 103
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City | FRESNO
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State | CA
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Zip | 93720-3385
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Country | US
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Telephone | 559-425-0778
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Fax |
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Provider Business Mailing Address
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Address Line | 1187 N WILLOW AVE STE 103
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City | CLOVIS
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State | CA
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Zip | 93611-4411
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Country | US
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Telephone | 559-425-0778
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES ROGER SLUSS
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Credential |
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Telephone | 559-425-0778
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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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