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General NPI Number Information
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NPI Number | 1447917539
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Entity Type | Organization
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Legal Business Name | ZOOM DIAGNOSTIC IMAGING HOLDINGS LLC
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 1113 W CHERRY AVE
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City | ENID
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State | OK
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Zip | 73703-3320
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Country | US
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Telephone | 580-540-3244
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Fax |
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Provider Business Mailing Address
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Address Line | 3508 SOUTHWESTERN BLVD
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City | DALLAS
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State | TX
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Zip | 75225-7454
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Country | US
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Telephone | 214-504-6156
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID SAVAGE
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Credential |
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Telephone | 214-504-6156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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