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General NPI Number Information
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NPI Number | 1942180963
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Entity Type | Organization
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Legal Business Name | PMDCO, LLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 7230 GILPIN WAY STE 200A
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City | DENVER
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State | CO
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Zip | 80229-6549
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Country | US
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Telephone | 801-499-9284
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 W BROADWAY RD STE 155
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City | TEMPE
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State | AZ
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Zip | 85282-1138
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | TANGINA MALOOF
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Credential |
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Telephone | 469-636-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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