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General NPI Number Information
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NPI Number | 1720281504
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Entity Type | Organization
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Legal Business Name | MEDISCAN PLUS, INC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 2616 SOUTH LOOP W
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City | HOUSTON
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State | TX
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Zip | 77054-2662
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Country | US
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Telephone | 713-432-7410
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Fax | 713-432-7410
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Provider Business Mailing Address
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Address Line | 9439 VIA VENEZIA
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City | BURBANK
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State | CA
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Zip | 91504-1244
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Country | US
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Telephone | 818-767-4729
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Fax | 818-767-4729
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Authorized Official
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Title or Position | MANAGER
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Name | VADIM DANIELIAN
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Credential |
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Telephone | 323-821-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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