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General NPI Number Information
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NPI Number | 1144650300
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Entity Type | Organization
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Legal Business Name | ALFA RADIOLOGY MANAGEMENT INC
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 3401 CUSTER RD SUITE 148
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City | PLANO
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State | TX
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Zip | 75023-7599
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Country | US
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Telephone | 972-905-5214
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Fax | 214-299-9329
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Provider Business Mailing Address
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Address Line | 3401 CUSTER RD SUITE 148
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City | PLANO
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State | TX
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Zip | 75023-7599
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Country | US
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Telephone | 972-905-5214
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Fax | 214-299-9329
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANATOLIY LYPMAN
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Credential |
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Telephone | 469-877-4846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State | TX
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