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General NPI Number Information
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NPI Number | 1366586489
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Entity Type | Organization
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Legal Business Name | E PLUS PET IMAGING XXIII, L.P.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8811 VILLAGE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5415
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Country | US
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Telephone | 615-467-7408
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Fax |
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Provider Business Mailing Address
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Address Line | 104 WOODMONT BLVD SUITE 500
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City | NASHVILLE
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State | TN
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Zip | 37205-2245
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY OF GENERAL PARTNER
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Name | JERRY EYLER
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Credential |
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Telephone | 615-467-7408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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