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General NPI Number Information
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NPI Number | 1346692894
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Entity Type | Organization
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Legal Business Name | CLEARVUE CENTER, LLC
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 4090 MAPLESHADE LANE
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 972-265-1071
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Fax | 214-313-9113
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Provider Business Mailing Address
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Address Line | 4090 MAPLESHADE LANE
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 972-265-1071
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Fax | 214-313-9113
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Authorized Official
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Title or Position | CEO
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Name | JEFF VANHORN
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Credential |
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Telephone | 972-265-1071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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