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General NPI Number Information
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NPI Number | 1114127115
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Entity Type | Organization
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Legal Business Name | RADIOLOGY CONSULTING ASSOCIATES PA
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 5924 PRESTON GATE CT
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City | DALLAS
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State | TX
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Zip | 75230-1757
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Country | US
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Telephone | 972-932-7200
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Fax | 903-453-2541
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Provider Business Mailing Address
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Address Line | PO BOX 1888
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City | GREENVILLE
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State | TX
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Zip | 75403-1888
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Country | US
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Telephone | 800-945-2455
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Fax | 903-453-2541
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MICHAEL E COLLIER
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Credential | MD
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Telephone | 972-932-7200
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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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