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General NPI Number Information
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NPI Number | 1952104143
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Entity Type | Organization
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Legal Business Name | VIV RADIOLOGY, LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 10696 S RIVER FRONT PARKWAY
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-3525
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Country | US
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Telephone | 801-563-0333
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Fax | 801-563-0335
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Provider Business Mailing Address
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Address Line | PO BOX 857580
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City | MINNEAPOLIS
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State | MN
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Zip | 55485-7580
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Country | US
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Telephone | 866-674-7933
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Fax |
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Authorized Official
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Title or Position | SPECIAL ASSISTANT SECRETARY
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Name | RAMONA AHERN
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Credential |
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Telephone | 952-738-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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