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General NPI Number Information
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NPI Number | 1710175690
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Entity Type | Organization
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Legal Business Name | WEST VALLEY IMAGING CENTER
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 7301 MEDICAL CENTER DR 103
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City | WEST HILLS
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State | CA
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Zip | 91307-1904
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Country | US
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Telephone | 818-346-4411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | SIMI VALLEY
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State | CA
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Zip | 93062-0190
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN BERGER
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Credential | M.D.
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Telephone | 818-346-4411
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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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