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General NPI Number Information
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NPI Number | 1598859100
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Entity Type | Organization
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Legal Business Name | TOM H PIATT MD INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 3300 WEBSTER ST #109
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City | OAKLAND
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State | CA
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Zip | 94609-3117
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Country | US
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Telephone | 510-451-0780
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Fax | 510-451-2352
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Provider Business Mailing Address
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Address Line | 3300 WEBSTER ST #109
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City | OAKLAND
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State | CA
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Zip | 94609-3117
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Country | US
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Telephone | 510-451-0780
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Fax | 510-451-2352
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRAD M PIATT
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Credential | MD
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Telephone | 925-254-5714
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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 | G59447
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License Number State | CA
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