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General NPI Number Information
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NPI Number | 1407657596
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Entity Type | Organization
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Legal Business Name | PEAK IMAGING, LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 777 MAIN ST STE 600
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City | FRISCO
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State | TX
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Zip | 75036-4373
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Country | US
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Telephone | 972-636-5828
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Fax |
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Provider Business Mailing Address
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Address Line | 777 MAIN ST STE 600
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City | FRISCO
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State | TX
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Zip | 75036-4373
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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 | AUTHORIZED OFFICIAL
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Name | MANDEEP ACHARYA
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Credential | MD
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Telephone | 972-643-8727
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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 |
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License Number State |
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Taxonomy #2
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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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