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General NPI Number Information
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NPI Number | 1821075631
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Entity Type | Organization
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Legal Business Name | THE VHS ARIZONA IMAGING CENTERS LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 18555 N 79TH AVE SUITE C-104
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City | GLENDALE
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State | AZ
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Zip | 85308-8370
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Country | US
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Telephone | 623-334-2500
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Fax | 623-334-3240
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Provider Business Mailing Address
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Address Line | 20 BURTON HILLS BLVD SUITE 100, ATTN: CAROL BAILEY
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City | NASHVILLE
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State | TN
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Zip | 37215-6197
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Country | US
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Telephone | 615-665-6000
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Fax | 615-665-6184
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CAROL A BAILEY
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Credential |
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Telephone | 615-665-6000
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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 | OTC 4140
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License Number State | AZ
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