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General NPI Number Information
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NPI Number | 1417062654
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Entity Type | Organization
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Legal Business Name | TEXAS NEURORADIOLOGY, P.A.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 8440 WALNUT HILL LN SUITE 510
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City | DALLAS
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State | TX
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Zip | 75231-3833
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Country | US
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Telephone | 214-345-4406
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Fax | 214-345-5543
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Provider Business Mailing Address
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Address Line | 8440 WALNUT HILL LN STE 510
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City | DALLAS
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State | TX
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Zip | 75231-3835
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Country | US
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Telephone | 214-345-4441
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAREN S KORTE
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Credential |
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Telephone | 214-345-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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