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General NPI Number Information
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NPI Number | 1831427897
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Entity Type | Organization
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Legal Business Name | ASSOCIATES OF VASCULAR & INTERPRETATION, LLC
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 04/29/2012
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Provider Practice Location Address
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Address Line | 3200 CARLISLE BLVD NE SUITE:116
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-1600
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Country | US
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Telephone | 505-796-5059
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 CARLISLE BLVD NE SUITE:116
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-1600
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Country | US
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Telephone | 505-796-5059
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN IN VASCULAR INT.
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Name | JULIO ANTONIO AVILA LOPEZ
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Credential | RDMS,RVT,RPVI
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Telephone | 505-269-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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