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General NPI Number Information
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NPI Number | 1528457769
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC IMAGE PLUS INC.
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 8210 WALNUT HILL LN STE 304
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City | DALLAS
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State | TX
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Zip | 75231-4419
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Country | US
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Telephone | 972-685-2727
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Fax | 972-685-2726
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Provider Business Mailing Address
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Address Line | 3022 MOTLEY DR
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City | MESQUITE
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State | TX
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Zip | 75150-3440
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Country | US
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Telephone | 972-613-0555
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Fax | 972-613-0546
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | MR. VARGHESE RAJU
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Credential |
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Telephone | 972-613-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2471B0102X
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Taxonomy Name | Bone Densitometry Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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