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General NPI Number Information
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NPI Number | 1811788854
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Entity Type | Organization
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Legal Business Name | BLUEBEAM OP, LLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 3902 EL CAJON BLVD STE A
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City | SAN DIEGO
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State | CA
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Zip | 92105-1016
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Country | US
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Telephone | 888-992-3240
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Fax | 888-992-3340
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Provider Business Mailing Address
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Address Line | 3902 EL CAJON BLVD STE A
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City | SAN DIEGO
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State | CA
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Zip | 92105-1016
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Country | US
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Telephone | 888-992-3240
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Fax | 888-992-3340
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MICHAEL ADENIRANYE
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Credential |
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Telephone | 888-992-3240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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