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General NPI Number Information
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NPI Number | 1053492439
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Entity Type | Organization
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Legal Business Name | OSTEOPOROSIS CENTER OF DENTON
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 1614 SCRIPTURE ST SUITE 5
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City | DENTON
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State | TX
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Zip | 76201-3837
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Country | US
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Telephone | 940-484-4874
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Fax | 940-387-0838
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Provider Business Mailing Address
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Address Line | 1614 SCRIPTURE ST SUITE 5
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City | DENTON
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State | TX
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Zip | 76201-3837
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Country | US
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Telephone | 940-484-4874
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Fax | 940-387-0838
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Authorized Official
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Title or Position | OWNER TECH
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Name | MRS. CINDY A REESE
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Credential | R.T., C.D.T.
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Telephone | 940-484-4874
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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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