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General NPI Number Information
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NPI Number | 1518081827
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Entity Type | Organization
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Legal Business Name | DKT LLC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 WHITNEY RANCH DR STE B9
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City | HENDERSON
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State | NV
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Zip | 89014-2611
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Country | US
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Telephone | 702-982-0150
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Fax | 702-982-0145
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Provider Business Mailing Address
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Address Line | 600 WHITNEY RANCH DR STE B9
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City | HENDERSON
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State | NV
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Zip | 89014-2611
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Country | US
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Telephone | 702-982-0150
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Fax | 702-982-0145
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Authorized Official
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Title or Position | PRESIDENT
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Name | TARAK PATEL
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Credential |
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Telephone | 702-982-0150
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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 | 03-04-3124-01
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License Number State | NV
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