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General NPI Number Information
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NPI Number | 1346882628
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Entity Type | Organization
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Legal Business Name | 247 MOBILE X-RAY SERVICES LLC
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 10407 SHANLEY LANDING CT
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City | RICHMOND
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State | TX
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Zip | 77407-2727
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Country | US
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Telephone | 281-543-5996
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Fax |
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Provider Business Mailing Address
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Address Line | 10407 SHANLEY LANDING CT
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City | RICHMOND
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State | TX
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Zip | 77407-2727
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Country | US
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Telephone | 281-543-5996
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. NEIL JOHN THOMAS
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Credential |
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Telephone | 281-543-5996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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