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General NPI Number Information
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NPI Number | 1003603895
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Entity Type | Organization
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Legal Business Name | PRINCIPLE IMAGING, LLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 6125 W RENO AVE STE 600
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-6551
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Country | US
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Telephone | 832-549-8355
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Fax |
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Provider Business Mailing Address
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Address Line | 16840 BUCCANEER LN STE 261
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City | HOUSTON
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State | TX
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Zip | 77058-2570
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Country | US
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Telephone | 832-549-8355
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BLAKE WERNER
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Credential |
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Telephone | 832-549-8355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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License Number State |
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