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General NPI Number Information
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NPI Number | 1285930388
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Entity Type | Organization
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Legal Business Name | WEBB COUNTY IMAGING, LLC
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 9802 MCPHERSON RD SUITE 108
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City | LAREDO
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State | TX
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Zip | 78045-6413
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Country | US
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Telephone | 956-726-0501
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Fax | 956-726-6361
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Provider Business Mailing Address
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Address Line | 9802 MCPHERSON RD SUITE 108
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City | LAREDO
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State | TX
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Zip | 78045-6413
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Country | US
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Telephone | 956-726-0501
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Fax | 956-726-6361
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Authorized Official
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Title or Position | MEMBER
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Name | DR. OSCAR N LIGHTNER
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Credential | M.D.
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Telephone | 956-726-0501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number | R32972R
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | R32972
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License Number State | TX
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