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General NPI Number Information
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NPI Number | 1598965550
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Entity Type | Organization
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Legal Business Name | ADVANCED IMAGING OF REDDING INC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 2380 BECHELLI LN
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City | REDDING
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State | CA
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Zip | 96002-0144
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Country | US
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Telephone | 530-226-1800
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Fax | 530-226-1818
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Provider Business Mailing Address
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Address Line | PO BOX 491835
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City | REDDING
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State | CA
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Zip | 96049-1835
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Country | US
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Telephone | 530-226-1800
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Fax | 530-226-1818
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN T HECHT
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Credential | M.D.
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Telephone | 530-226-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | G45283
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | G45283
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | G45283
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G45283
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License Number State | CA
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