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General NPI Number Information
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NPI Number | 1942236443
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Entity Type | Organization
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Legal Business Name | QUEST IMAGING MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9602 STOCKDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3618
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Country | US
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Telephone | 661-633-5000
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Fax | 661-633-2500
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Provider Business Mailing Address
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Address Line | PO BOX 2447
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City | BAKERSFIELD
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State | CA
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Zip | 93303-2447
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Country | US
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Telephone | 661-633-5000
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Fax | 661-633-2500
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Authorized Official
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Title or Position | OWNER
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Name | DONALD FITZGERALD
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Credential | M.D.
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Telephone | 661-633-5000
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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 | 0600058910
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License Number State | CA
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