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General NPI Number Information
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NPI Number | 1689079030
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Entity Type | Organization
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Legal Business Name | BACTES IMAGING SOLUTION
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 8344 CLAIREMONT MESA BLVD SUITE 201
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City | SAN DIEGO
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State | CA
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Zip | 92111-1307
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Country | US
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Telephone | 800-560-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 8344 CLAIREMONT MESA BLVD SUITE 201
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City | SAN DIEGO
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State | CA
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Zip | 92111-1307
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Country | US
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Telephone | 800-560-3800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CREDIT/COLLECTIONS
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Name | ANGELA RYLEY
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Credential |
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Telephone | 800-560-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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