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General NPI Number Information
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NPI Number | 1386629772
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Entity Type | Organization
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Legal Business Name | COLLINS FISHER RADIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 1400 HWY 59 BYPASS
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City | WHARTON
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State | TX
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Zip | 77488
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Country | US
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Telephone | 713-481-3533
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Fax | 713-432-0221
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Provider Business Mailing Address
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Address Line | PO BOX 421209
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City | HOUSTON
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State | TX
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Zip | 77242-1209
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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 | OWNER
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Name | DR. O. PRESTON COPELAND
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Credential | M.D.
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Telephone | 713-481-3533
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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 |
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License Number State |
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