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NPI 1811940661

NPI 1811940661 : SOLANO DIAGNOSTICS PARTNERS A CALIF LIMITED PARTNERSHIP : FAIRFIELD, CA

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General NPI Number Information
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    NPI Number           |    1811940661
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOLANO DIAGNOSTICS PARTNERS A CALIF LIMITED PARTNERSHIP 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    08/09/2013
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Provider Practice Location Address
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    Address Line         |    1101 B GALE WILSON BLVD SUITE 100
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    City                 |    FAIRFIELD
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    State                |    CA
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    Zip                  |    94533-3700
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    Country              |    US
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    Telephone            |    707-646-4777
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    Fax                  |    707-399-2648
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Provider Business Mailing Address
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    Address Line         |    1101 B GALE WILSON BLVD SUITE 100
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    City                 |    FAIRFIELD
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    State                |    CA
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    Zip                  |    94533-3700
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    Country              |    US
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    Telephone            |    707-646-4777
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    Fax                  |    707-399-2648
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. ELNORA  CAMERON 
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    Credential           |    
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    Telephone            |    707-646-3288
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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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