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General NPI Number Information
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NPI Number | 1003071457
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Entity Type | Organization
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Legal Business Name | SYNERGY IMAGING, LLC
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 221 W COLORADO BLVD PAVILION I, SUITE 205
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 214-942-5511
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Fax | 214-942-5512
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Provider Business Mailing Address
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Address Line | PO BOX 92873
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City | SOUTHLAKE
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State | TX
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Zip | 76092-0873
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Country | US
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Telephone | 214-202-4065
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Fax | 186-651-0090
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. AYESHA SAYANY
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Credential | M.H.S.
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Telephone | 214-202-4065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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