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General NPI Number Information
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NPI Number | 1497076145
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Entity Type | Organization
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Legal Business Name | CLARUS IMAGING (BAYTOWN) LP
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 1455 MANOR DR SUITE 100
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City | BAYTOWN
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State | TX
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Zip | 77521-2271
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Country | US
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Telephone | 281-837-7600
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Fax | 281-837-7601
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Provider Business Mailing Address
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Address Line | 1455 MANOR DRIVE SUITE 100
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City | BAYTOWN
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State | TX
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Zip | 77521-2271
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Country | US
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Telephone | 281-837-7600
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Fax | 281-837-7601
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Authorized Official
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Title or Position | REGIONAL VICE PRESIDENT
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Name | MR. JAMES KEVIN HERRINGTON
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Credential |
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Telephone | 409-981-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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