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General NPI Number Information
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NPI Number | 1205868387
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Entity Type | Organization
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Legal Business Name | RICE NUCLEAR DIAGNOSTICS, L.P.
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 1414 SOUTH LOOP W SUITE 120
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City | HOUSTON
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State | TX
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Zip | 77054-3825
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Country | US
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Telephone | 713-796-2752
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Fax | 713-796-2750
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Provider Business Mailing Address
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Address Line | 1414 S. LOOP WEST SUITE 120
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City | HOUSTON
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State | TX
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Zip | 77054-3825
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Country | US
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Telephone | 713-796-2752
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Fax | 713-796-2750
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Authorized Official
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Title or Position | ADM.
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Name | MR. JOHN DELBOSQUE
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Credential |
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Telephone | 713-796-2752
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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 | R29080
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License Number State | TX
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