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General NPI Number Information
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NPI Number | 1629378328
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Entity Type | Organization
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Legal Business Name | SLMC, INC.
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 6060 PARK CREST DR
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City | CHINO HILLS
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State | CA
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Zip | 91709-6315
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Country | US
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Telephone | 714-743-8044
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Fax | 909-393-8366
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Provider Business Mailing Address
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Address Line | P.O. BOX 3022
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City | CHINO HILLS
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State | CA
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Zip | 91709-3022
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Country | US
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Telephone | 714-743-8044
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LISA M CHAVERS
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Credential | RT
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Telephone | 714-743-8044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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