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General NPI Number Information
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NPI Number | 1477874659
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Entity Type | Organization
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Legal Business Name | J E MOBILE DIAGNOSTIC SERVICES, INC
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 5501 INDEPENDENCE PKWY SUITE 116
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City | PLANO
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State | TX
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Zip | 75023-5463
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Country | US
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Telephone | 972-535-4854
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Fax | 972-468-6498
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Provider Business Mailing Address
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Address Line | 5501 INDEPENDENCE PKWY SUITE 116
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City | PLANO
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State | TX
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Zip | 75023-5463
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Country | US
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Telephone | 972-535-4854
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Fax | 972-468-6498
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Authorized Official
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Title or Position | OWNER
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Name | MR. YEFIM Z MULER
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Credential |
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Telephone | 972-832-8998
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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 | 80971
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License Number State | CA
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