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General NPI Number Information
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NPI Number | 1912950676
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PACIFIC ADVANCED IMAGING
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 2351 CLAY ST STE 100
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-1931
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Country | US
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Telephone | 415-600-3143
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Fax | 415-600-3123
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Provider Business Mailing Address
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Address Line | PO BOX 6102
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City | NOVATO
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State | CA
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Zip | 94948-6102
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Country | US
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Telephone | 415-884-9125
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Fax |
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | DR. AVANTI AMBEKAR
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Credential | MD
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Telephone | 153-084-8904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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