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General NPI Number Information
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NPI Number | 1922320951
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Entity Type | Individual
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Provider Name | AMISHA VISHAL BODIWALA RT,(R)(M)
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Gender | Female
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 11075 CAMINO PLAYA CARMEL
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City | SAN DIEGO
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State | CA
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Zip | 92124-4142
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Country | US
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Telephone | 908-307-7218
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Fax |
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Provider Business Mailing Address
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Address Line | 11075 CAMINO PLAYA CARMEL
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City | SAN DIEGO
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State | CA
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Zip | 92124-4142
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Country | US
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Telephone | 908-307-7218
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Fax |
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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 | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | 631701
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | ARRT 331992
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | RHM94300
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number | RHM94300
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License Number State | CA
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