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General NPI Number Information
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NPI Number | 1881934594
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Entity Type | Organization
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Legal Business Name | PUEBLO SANTA BARBARA WOMEN'S IMAGING ASSOCIATES, INC
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Dates
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Enumeration Date | 02/18/2013
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Last Update Date | 02/18/2013
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Provider Practice Location Address
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Address Line | 1525 STATE ST SUITE 102
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2500
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Country | US
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Telephone | 805-560-8111
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Fax | 805-560-6900
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Provider Business Mailing Address
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Address Line | PO BOX 1326
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City | SANTA BARBARA
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State | CA
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Zip | 93102-1326
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Country | US
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Telephone | 805-682-7984
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Fax | 805-569-2964
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. WINIFRED K LEUNG
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Credential | M.D.
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Telephone | 805-682-7984
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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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