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General NPI Number Information
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NPI Number | 1659449650
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Entity Type | Organization
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Legal Business Name | RADCO MANAGEMENT, LLC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 15725 WHITTIER BLVD STE B
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City | WHITTIER
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State | CA
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Zip | 90603-2347
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Country | US
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Telephone | 562-267-0170
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Fax | 562-267-0173
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Provider Business Mailing Address
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Address Line | 15725 WHITTIER BLVD STE B
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City | WHITTIER
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State | CA
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Zip | 90603-2347
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Country | US
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Telephone | 562-267-0170
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Fax | 562-267-0173
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Authorized Official
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Title or Position | PARTNER
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Name | REYNOLD NISHIO
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Credential |
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Telephone | 562-267-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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