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General NPI Number Information
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NPI Number | 1205774825
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Entity Type | Organization
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Legal Business Name | SHI RADIOLOGY LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 1401 E 8TH ST
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City | WESLACO
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State | TX
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Zip | 78596-6640
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Country | US
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Telephone | 956-973-5110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 277615
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City | MIRAMAR
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State | FL
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Zip | 33027-7615
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Country | US
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Telephone | 786-457-4900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUDDY VALDES
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Credential | DO
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Telephone | 786-457-4900
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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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