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General NPI Number Information
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NPI Number | 1881859205
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Entity Type | Organization
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Legal Business Name | SCHWARTZBERG DIAGNOSTIC MEDICAL IMAGING INC.
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 16935 VANOWEN ST SUITE H
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City | VAN NUYS
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State | CA
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Zip | 91406-4595
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Country | US
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Telephone | 818-342-0701
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Fax | 818-342-0702
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Provider Business Mailing Address
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Address Line | 16935 VANOWEN ST SUITE H
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City | VAN NUYS
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State | CA
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Zip | 91406-4595
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Country | US
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Telephone | 818-342-0701
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Fax | 818-342-0702
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Authorized Official
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Title or Position | CEO
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Name | DR. IRVING J SCHWARTZ
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Credential | MD
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Telephone | 818-342-0701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State | CA
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Taxonomy #2
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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 | CA
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