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General NPI Number Information
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NPI Number | 1619193968
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Entity Type | Organization
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Legal Business Name | GAITHERSBURG IMAGING CENTER, LLC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 702 RUSSELL AVE
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City | GAITHERSBURG
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State | MD
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Zip | 20877-2606
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Country | US
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Telephone | 301-441-9696
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34979
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City | BETHESDA
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State | MD
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Zip | 20827-0979
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Country | US
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Telephone | 301-441-9696
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | RAKESH C SAHNI
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Credential | M.D.
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Telephone | 301-441-9696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D30769
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License Number State | MD
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