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General NPI Number Information
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NPI Number | 1033175302
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Entity Type | Organization
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Legal Business Name | ANGELINA DIAGNOSTIC RADIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1201 W FRANK AVE
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City | LUFKIN
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State | TX
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Zip | 75904-3357
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Country | US
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Telephone | 936-634-8111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3488
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City | TUPELO
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State | MS
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Zip | 38803-3488
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Country | US
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Telephone | 479-452-9416
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Fax | 479-242-1990
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAROLD R LEVINE II
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Credential | MD
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Telephone | 479-452-9416
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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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