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General NPI Number Information
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NPI Number | 1891731832
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Entity Type | Individual
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Provider Name | CHRISTOPHER J MEOLI DO
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | 35800 BOB HOPE DR INTERVENTIONAL RADIOLOGY AND IMAGING CENTER, SUITE 150
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1739
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Country | US
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Telephone | 760-770-1920
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Fax | 760-324-0848
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Provider Business Mailing Address
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Address Line | 35800 BOB HOPE DR INTERVENTIONAL RADIOLOGY AND IMAGING CENTER, SUITE 150
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1739
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Country | US
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Telephone | 760-770-1920
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Fax | 760-324-0848
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 34435
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 20A 10654
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20A 10654
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License Number State | CA
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