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General NPI Number Information
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NPI Number | 1912194309
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Entity Type | Organization
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Legal Business Name | PHYSICIANS IMAGING VISALIA LLC
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 137 S ASPEN CT SUITE A
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City | VISALIA
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State | CA
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Zip | 93291-5175
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Country | US
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Telephone | 559-624-0160
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Fax | 559-624-0258
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Provider Business Mailing Address
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Address Line | 137 S ASPEN CT SUITE A
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City | VISALIA
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State | CA
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Zip | 93291-5175
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Country | US
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Telephone | 559-624-0160
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Fax | 559-624-0258
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT TOOKOIAN
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Credential |
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Telephone | 559-624-0160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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