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General NPI Number Information
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NPI Number | 1356347454
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Entity Type | Organization
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Legal Business Name | SWDIC IMAGING CENTER PARTNERSHIP, LLP
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 8230 WALNUT HILL LN SUITE 100
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City | DALLAS
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State | TX
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Zip | 75231-4482
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Country | US
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Telephone | 214-345-4141
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Fax | 214-345-2099
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Provider Business Mailing Address
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Address Line | 8230 WALNUT HILL LN SUITE 100
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City | DALLAS
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State | TX
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Zip | 75231-4482
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Country | US
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Telephone | 214-345-6905
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Fax | 214-345-2099
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Authorized Official
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Title or Position | DIRECTOR, BUS. SVCS
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Name | PHILIP COLLINS
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Credential |
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Telephone | 214-345-4141
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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 | R18642
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License Number State | TX
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