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General NPI Number Information
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NPI Number | 1578590584
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Entity Type | Organization
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Legal Business Name | EAST SUNSET IMAGING INC
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 4327 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90029-2111
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Country | US
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Telephone | 323-664-1956
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Fax | 323-664-4417
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Provider Business Mailing Address
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Address Line | 4327 SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90029-2111
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Country | US
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Telephone | 323-664-1956
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Fax | 323-664-4417
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Authorized Official
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Title or Position | PRESIDENT
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Name | GAYANE DANELYAN
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Credential |
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Telephone | 323-664-1956
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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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