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General NPI Number Information
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NPI Number | 1952858912
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Entity Type | Organization
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Legal Business Name | NEW TECHNOLOGY MEDICAL ARTS LLC
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 1208 E 5TH ST
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City | BENICIA
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State | CA
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Zip | 94510-3502
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Country | US
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Telephone | 707-745-3112
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Fax | 707-745-6822
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Provider Business Mailing Address
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Address Line | 1208 E 5TH ST
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City | BENICIA
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State | CA
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Zip | 94510-3502
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Country | US
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Telephone | 707-745-3112
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Fax | 707-745-6822
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Authorized Official
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Title or Position | CEO
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Name | DR. ARUN ANAND
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Credential | MD
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Telephone | 707-745-3112
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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 | A44609
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License Number State | CA
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