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General NPI Number Information
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NPI Number | 1669652376
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Entity Type | Organization
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Legal Business Name | BATH X-RAY
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 2324 BATH ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4330
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Country | US
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Telephone | 805-682-7807
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Fax | 805-569-5861
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Provider Business Mailing Address
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Address Line | 2324 BATH ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4330
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Country | US
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Telephone | 805-682-7807
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Fax | 805-687-5342
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD DALY KAHMANN
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Credential | M.D.
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Telephone | 805-682-7801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | FAC27290
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License Number State | CA
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