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General NPI Number Information
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NPI Number | 1295926483
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Entity Type | Individual
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Provider Name | RONALD DAYTON SULLIVAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2300 MARIE CURIE BLVD. BAYLOR MEDICAL CENTER AT GARLAND
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City | GARLAND
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State | TX
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Zip | 75042
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Country | US
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Telephone | 817-727-0889
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Fax |
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Provider Business Mailing Address
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Address Line | 4302 MONROE DR
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City | TEXARKANA
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State | TX
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Zip | 75503-2114
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Country | US
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Telephone | 903-838-4816
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MD29467
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME151356
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35244
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | N3336
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License Number State | TX
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