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General NPI Number Information
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NPI Number | 1497912109
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Entity Type | Organization
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Legal Business Name | CLARITYMD, LLC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 3104 LATING STREAM LN
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City | AUSTIN
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State | TX
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Zip | 78746-2004
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Country | US
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Telephone | 512-826-1245
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Fax |
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Provider Business Mailing Address
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Address Line | 3104 LATING STREAM LN
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City | AUSTIN
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State | TX
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Zip | 78746-2004
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Country | US
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Telephone | 512-826-1245
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN PAUL RELIC
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Credential |
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Telephone | 512-826-1245
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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 | R17143
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License Number State | TX
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