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General NPI Number Information
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NPI Number | 1568095123
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Entity Type | Organization
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Legal Business Name | CENTURY RADIOLOGY MEDICAL GROUP, INC
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 7102 BETHENCOURT
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City | SAN ANTONIO
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State | TX
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Zip | 78209-3407
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Country | US
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Telephone | 800-236-4469
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 102337
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City | PASADENA
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State | CA
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Zip | 91189-2337
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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 | PRESIDENT
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Name | MARK J SCHEIN
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Credential | MD
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Telephone | 562-531-2550
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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 |
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