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NPI 1134316169

NPI 1134316169 : NRHS RADIOLOGY ASSOCIATES : NORMAN, OK

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General NPI Number Information
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    NPI Number           |    1134316169
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    Entity Type          |    Organization 
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    Legal Business Name  |    NRHS RADIOLOGY ASSOCIATES 
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Dates
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    Enumeration Date     |    10/03/2007
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    Last Update Date     |    10/15/2024
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Provider Practice Location Address
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    Address Line         |    3300 HEALTHPLEX PKWY 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73072-9749
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    Country              |    US
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    Telephone            |    405-307-1600
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    Fax                  |    405-307-1604
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Provider Business Mailing Address
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    Address Line         |    3300 HEALTHPLEX PKWY 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73072-9749
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    Country              |    US
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    Telephone            |    405-307-1600
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    Fax                  |    405-307-1604
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Authorized Official
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    Title or Position    |    CO-CEO
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    Name                 |     RICHARD D WAGNER 
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    Credential           |    
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    Telephone            |    405-515-1000
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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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