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General NPI Number Information
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NPI Number | 1508882481
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Entity Type | Organization
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Legal Business Name | DAVIS LANDING MRI & IMAGING LP
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2795 PHARMACY RD
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6201
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Country | US
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Telephone | 956-487-5621
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Fax | 956-716-8378
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Provider Business Mailing Address
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Address Line | 2795 PHARMACY RD
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6201
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Country | US
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Telephone | 956-487-5621
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Fax | 956-716-8378
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Authorized Official
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Title or Position | OWNER/ADM
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Name | GAURI KANHERE
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Credential | MD
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Telephone | 956-487-4335
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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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