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General NPI Number Information
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NPI Number | 1437114188
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Entity Type | Organization
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Legal Business Name | LAKE POINTE RADIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 6800 SCENIC DR #1550
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City | ROWLETT
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State | TX
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Zip | 75088-4552
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Country | US
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Telephone | 972-412-2273
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 740968
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City | DALLAS
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State | TX
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Zip | 75374-0968
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Country | US
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Telephone | 972-664-6900
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Fax | 903-453-2541
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOEL L CARP
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Credential | MD
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Telephone | 972-412-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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