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General NPI Number Information
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NPI Number | 1427618214
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Entity Type | Organization
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Legal Business Name | INNOTECH IMAGING
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 1019 WESTPORT SHORE DR
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City | HOUSTON
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State | TX
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Zip | 77094-3333
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Country | US
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Telephone | 818-943-4196
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Fax |
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Provider Business Mailing Address
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Address Line | 1019 WESTPORT SHORE DR
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City | HOUSTON
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State | TX
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Zip | 77094-3333
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Country | US
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Telephone | 818-943-4196
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SUNIT SINGAL
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Credential |
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Telephone | 818-943-4196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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License Number |
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License Number State |
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