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General NPI Number Information
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NPI Number | 1063461598
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Entity Type | Organization
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Legal Business Name | SOUTHWEST IMAGING AND INTERVENTIONAL SPECIALISTS, P.A.
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 8200 WALNUT HILL LN
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City | DALLAS
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State | TX
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Zip | 75231-4426
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Country | US
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Telephone | 214-345-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 7515 GREENVILLE AVE SUITE 710
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City | DALLAS
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State | TX
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Zip | 75231-3831
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Country | US
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Telephone | 214-363-8378
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Fax | 214-363-0720
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK W BARR
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Credential | M.D.
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Telephone | 214-363-8378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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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 | 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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