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General NPI Number Information
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NPI Number | 1619358066
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Entity Type | Organization
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Legal Business Name | CASPIAN DIAGNOSTIC IMAGING LLC
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 8300 BISSONNET ST STE 120
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City | HOUSTON
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State | TX
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Zip | 77074-3911
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Country | US
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Telephone | 832-899-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 BISSONNET ST STE 120
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City | HOUSTON
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State | TX
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Zip | 77074-3911
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Country | US
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Telephone | 832-899-4222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAMIN MAMMADOV
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Credential |
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Telephone | 832-899-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | P3396
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License Number State | TX
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