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General NPI Number Information
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NPI Number | 1699860577
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Entity Type | Organization
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Legal Business Name | ARCADIA RADIOLOGY UNION HILLS
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18275 N 59TH AVE STE K168
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City | GLENDALE
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State | AZ
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Zip | 85308-1287
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Country | US
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Telephone | 602-889-1977
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Fax | 602-889-1982
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Provider Business Mailing Address
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Address Line | PO BOX 53536
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City | PHOENIX
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State | AZ
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Zip | 85072-3536
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Country | US
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Telephone | 623-487-9579
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Fax | 623-889-2045
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MISS RACHEL CASTRO
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Credential |
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Telephone | 623-889-2120
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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 | 14587
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License Number State | AZ
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