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General NPI Number Information
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NPI Number | 1104874510
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Entity Type | Organization
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Legal Business Name | HAYSVILLE DIAGNOSTIC CENTER LLC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2020 N TYLER RD STE. # 114
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City | WICHITA
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State | KS
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Zip | 67212-4916
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Country | US
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Telephone | 316-491-2093
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Fax | 316-491-2097
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Provider Business Mailing Address
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Address Line | 2020 N. TYLER RD STE. # 114
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City | WICHITA
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State | KS
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Zip | 67212
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Country | US
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Telephone | 316-491-2093
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Fax | 316-491-2097
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL ALVAREZ
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Credential | D.O.
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Telephone | 316-491-2093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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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 | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number | 236167
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License Number State | KS
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