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General NPI Number Information
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NPI Number | 1386959740
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Entity Type | Organization
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Legal Business Name | MCALLEN REGIONAL IMAGING LLC
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 1801 S 5TH ST STE. 107
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City | MCALLEN
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State | TX
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Zip | 78503-2927
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Country | US
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Telephone | 956-687-6747
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Fax | 956-687-6740
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Provider Business Mailing Address
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Address Line | 1801 S 5TH ST STE. 107
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City | MCALLEN
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State | TX
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Zip | 78503-2927
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Country | US
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Telephone | 956-687-6747
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Fax | 956-687-6740
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JESUS CASTRELLON
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Credential |
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Telephone | 956-687-6747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 230536
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License Number State | TX
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