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General NPI Number Information
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NPI Number | 1841760931
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Entity Type | Organization
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Legal Business Name | MOBILE 3D IMAGING, LLC
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 14437 MERIDIAN PKWY
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City | RIVERSIDE
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State | CA
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Zip | 92518-3007
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Country | US
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Telephone | 800-985-9269
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Fax |
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Provider Business Mailing Address
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Address Line | 14437 MERIDIAN PKWY
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City | RIVERSIDE
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State | CA
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Zip | 92518-3007
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Country | US
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Telephone | 800-985-9269
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. OREST FRANGOPOL
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Credential | DDS
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Telephone | 949-701-3031
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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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