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General NPI Number Information
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NPI Number | 1134356918
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Entity Type | Organization
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Legal Business Name | DALLAS RADIOLOGY,P.A.
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 4230 LBJ FWY SUITE 520
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City | DALLAS
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State | TX
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Zip | 75244-5806
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Country | US
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Telephone | 972-599-1860
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Fax | 866-480-6586
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Provider Business Mailing Address
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Address Line | 4230 LBJ FWY SUITE 520
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City | DALLAS
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State | TX
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Zip | 75244-5806
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Country | US
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Telephone | 972-599-1860
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Fax | 866-480-6586
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MRS. ANA LILIA MUNOZ
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Credential |
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Telephone | 972-599-1860
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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 | G7011
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License Number State | TX
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