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General NPI Number Information
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NPI Number | 1780790576
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Entity Type | Organization
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Legal Business Name | AMERICAN MEDICAL IMAGING INC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1517 E AZTEC LN
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City | FORT MOHAVE
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State | AZ
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Zip | 86426
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Country | US
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Telephone | 928-704-4464
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Fax | 928-704-4102
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Provider Business Mailing Address
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Address Line | 2756 N GREEN VALLEY PKWY SUITE 217
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City | HENDERSON
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State | NV
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Zip | 89014
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Country | US
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Telephone | 702-262-9870
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Fax | 702-262-9871
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. THOMAS A CATANIA
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Credential | MD
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Telephone | 702-262-9870
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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 | A46258
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 6330
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22024
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License Number State | AZ
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