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General NPI Number Information
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NPI Number | 1770195224
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Entity Type | Organization
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Legal Business Name | F&M RADIOLOGY MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 318 W COLORADO ST STE 2
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City | GLENDALE
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State | CA
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Zip | 91204-1670
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Country | US
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Telephone | 818-708-6163
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Fax | 818-340-5537
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Provider Business Mailing Address
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Address Line | 20011 VENTURA BLVD # 1002
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2573
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Country | US
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Telephone | 818-708-6163
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Fax | 818-340-5537
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RAY SALARI
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Credential | M.D
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Telephone | 818-708-6163
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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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