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General NPI Number Information
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NPI Number | 1629023916
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Entity Type | Organization
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Legal Business Name | DESERT ADVANCED IMAGING CENTER
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 41120 WASHINGTON ST JFK 2ND FLOOR
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City | BERMUDA DUNES
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State | CA
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Zip | 92203-9215
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Country | US
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Telephone | 760-200-4168
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Fax | 760-200-4387
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Provider Business Mailing Address
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Address Line | 1037 N GRAND AVE PMB 203
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City | COVINA
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State | CA
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Zip | 91724-2048
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Country | US
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Telephone | 626-966-1580
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Fax | 626-967-7821
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD G. BERGER
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Credential | MD
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Telephone | 310-445-2800
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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 |
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License Number State |
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