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General NPI Number Information
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NPI Number | 1851713085
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Entity Type | Organization
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Legal Business Name | AZ TECH RADIOLOGY & OPEN MRI
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 450 W ADAMSVILLE RD
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City | FLORENCE
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State | AZ
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Zip | 85132-8582
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Country | US
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Telephone | 520-868-4000
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Fax | 520-868-4001
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Provider Business Mailing Address
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Address Line | 1840 W APACHE TRL
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-3728
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Country | US
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Telephone | 480-889-3500
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Fax | 480-889-3501
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Authorized Official
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Title or Position | CEO
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Name | MR. RAKESH PAHWA
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Credential |
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Telephone | 480-889-3500
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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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