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General NPI Number Information
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NPI Number | 1477296085
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Entity Type | Organization
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Legal Business Name | CLEAR CHOICE IMAGING OF ROCKWALL LLC
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 2823 MARKET CENTER DR
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City | ROCKWALL
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State | TX
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Zip | 75032-6565
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Country | US
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Telephone | 469-887-4624
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Fax |
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Provider Business Mailing Address
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Address Line | 9990 DALLAS PKWY STE 110
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City | FRISCO
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State | TX
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Zip | 75033-4135
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Country | US
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Telephone | 469-887-4624
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Fax |
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Authorized Official
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Title or Position | SR DIR OF REV CYCLE MGMT
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Name | APRIL SAWYER
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Credential |
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Telephone | 817-202-5179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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