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General NPI Number Information
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NPI Number | 1104834258
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Entity Type | Organization
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Legal Business Name | MOBILE CR IMAGING, LLC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 4749 WILLIAMS DR
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City | GEORGETOWN
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State | TX
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Zip | 78633
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Country | US
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Telephone | 844-321-9729
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Fax | 512-233-5966
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Provider Business Mailing Address
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Address Line | 4749 WILLIAMS DR
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City | GEORGETOWN
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State | TX
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Zip | 78633-3710
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Country | US
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Telephone | 844-321-9729
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Fax | 512-233-5966
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG DAVIS II
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Credential | RT(R)
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Telephone | 844-321-9729
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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 |
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License Number State |
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