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General NPI Number Information
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NPI Number | 1447470018
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Entity Type | Organization
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Legal Business Name | OBY'S MOBILE IMAGING
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3201 INTERSTATE 30 STE G
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City | MESQUITE
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State | TX
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Zip | 75150-2602
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Country | US
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Telephone | 972-613-7600
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Fax | 972-613-7601
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Provider Business Mailing Address
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Address Line | 3201 INTERSTATE 30 STE G
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City | MESQUITE
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State | TX
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Zip | 75150-2602
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Country | US
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Telephone | 972-613-7600
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Fax | 972-613-7601
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HUGHES A CHEATAM
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Credential | MD
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Telephone | 972-613-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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