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General NPI Number Information
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NPI Number | 1730193061
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Entity Type | Organization
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Legal Business Name | WESTCOAST DIAGNOSTIC IMAGING CENTERS, INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 312 S LINE AVE
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City | INVERNESS
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State | FL
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Zip | 34452-4606
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Country | US
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Telephone | 352-369-0770
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Fax | 386-774-5251
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Provider Business Mailing Address
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Address Line | 312 S LINE AVE
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City | INVERNESS
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State | FL
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Zip | 34452-4606
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Country | US
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Telephone | 352-369-0770
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Fax | 386-774-5251
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Authorized Official
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Title or Position | SUPERVISING PHYSICIAN
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Name | MRS. BEATRIZ L CATRAL
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Credential | M.D.
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Telephone | 352-369-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | HCC6195
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License Number State | FL
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