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General NPI Number Information
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NPI Number | 1821708330
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Entity Type | Organization
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Legal Business Name | VERTEBRAL MOTION DIAGNOSTICS LLC
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Dates
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Enumeration Date | 11/25/2022
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 20998 REDWOOD RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5918
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Country | US
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Telephone | 833-773-8862
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Fax | 833-733-8862
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Provider Business Mailing Address
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Address Line | 17002 STANLEY LN APT A
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-8217
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Country | US
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Telephone | 833-773-8862
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Fax | 833-773-8862
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Authorized Official
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Title or Position | CEO
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Name | WENDY MOVSESIAN
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Credential |
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Telephone | 833-773-8862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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