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General NPI Number Information
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NPI Number | 1568717999
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Entity Type | Organization
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Legal Business Name | 24/7 RADIOLOGY SOLUTIONS WEST PC
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 1770 IOWA AVE SUITE 280
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City | RIVERSIDE
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State | CA
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Zip | 92507-2430
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Country | US
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Telephone | 951-786-0801
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Fax | 855-226-5960
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Provider Business Mailing Address
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Address Line | PO BOX 80435
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91716-8401
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Country | US
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Telephone | 951-786-0801
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Fax | 855-226-5960
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALIX VINCENT
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Credential | MD
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Telephone | 951-786-0801
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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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