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General NPI Number Information
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NPI Number | 1750519401
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Entity Type | Organization
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Legal Business Name | RESOLUTION IMAGING MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 2336 SANTA MONICA BLVD #206
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City | SANTA MONICA
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State | CA
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Zip | 90404-2095
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Country | US
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Telephone | 310-828-7226
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Fax | 310-496-0531
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Provider Business Mailing Address
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Address Line | 2336 SANTA MONICA BLVD #206
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City | SANTA MONICA
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State | CA
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Zip | 90404-2095
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Country | US
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Telephone | 310-828-7226
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Fax | 310-496-0531
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Authorized Official
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Title or Position | PARTNER/CFO
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Name | DR. DAVID PAUL ALLEGRA
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Credential | MD
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Telephone | 310-701-0905
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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 |
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License Number State |
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