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General NPI Number Information
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NPI Number | 1235135898
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Entity Type | Organization
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Legal Business Name | D2 IMAGING
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6320 SOUTHWEST BLVD STE 104
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City | FORT WORTH
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State | TX
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Zip | 76109-3961
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Country | US
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Telephone | 817-921-6015
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Fax | 817-763-9492
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Provider Business Mailing Address
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Address Line | 6320 SOUTHWEST BLVD STE 104
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City | FORT WORTH
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State | TX
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Zip | 76109-3961
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Country | US
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Telephone | 817-921-6015
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Fax | 817-763-9492
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DARREN C LADNER
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Credential | RDMS, RVT
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Telephone | 817-921-6015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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