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General NPI Number Information
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NPI Number | 1003092883
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Entity Type | Organization
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Legal Business Name | ADVANTECHS X-RAY IMAGING SERVICES, LLC
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 4545 FULLER DR STE. 325
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City | IRVING
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State | TX
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Zip | 75038-6530
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Country | US
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Telephone | 800-759-7291
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Fax | 248-824-0630
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Provider Business Mailing Address
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Address Line | PO BOX 40406
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City | BELFAST
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State | ME
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Zip | 04915-1255
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Country | US
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Telephone | 972-870-5511
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Fax | 855-618-6655
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY STEVENS
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Credential | DO
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Telephone | 248-824-6000
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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 | R28054
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License Number State | TX
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