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General NPI Number Information
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NPI Number | 1427062215
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Entity Type | Individual
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Provider Name | RALPH NIETO RT RADIOLOGIC TECH
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 17745 US EXPRESSWAY 83
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City | HARLINGEN
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State | TX
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Zip | 78552
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Country | US
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Telephone | 956-440-9729
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Fax | 956-440-8882
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Provider Business Mailing Address
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Address Line | PO BOX 532844
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City | HARLINGEN
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State | TX
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Zip | 78553
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Country | US
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Telephone | 956-440-9729
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Fax | 956-440-8882
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | R23048
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | R23048
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License Number State | TX
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