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General NPI Number Information
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NPI Number | 1790032753
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Entity Type | Organization
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Legal Business Name | VALLEY RADIOLOGY CONSULTANTS MEDICAL GROUP, INC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 10225 AUSTIN DR STE 105
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City | SPRING VALLEY
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State | CA
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Zip | 91978-1521
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Country | US
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Telephone | 619-797-8248
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Fax | 619-399-7359
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Provider Business Mailing Address
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Address Line | 1340 W VALLEY PKWY STE 202
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City | ESCONDIDO
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State | CA
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Zip | 92029-2136
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Country | US
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Telephone | 760-520-8500
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT STEVEN MUEHLBERG
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Credential |
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Telephone | 760-520-8551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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