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General NPI Number Information
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NPI Number | 1932428216
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Entity Type | Organization
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Legal Business Name | ONE STOP ANCILLARIES & DIAGNOSTICS APC
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 16530 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91436-4554
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Country | US
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Telephone | 818-981-3332
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Fax | 818-465-6625
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Provider Business Mailing Address
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Address Line | PO BOX 261700
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City | ENCINO
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State | CA
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Zip | 91426-1700
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Country | US
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Telephone | 818-981-3332
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Fax | 818-465-6625
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Authorized Official
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Title or Position | MANAGER
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Name | DEBORAH PEREZ
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Credential |
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Telephone | 818-377-3855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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