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NPI 1538765326

NPI 1538765326 : HORIZON DIAGNOSTIC SERVICES, INC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1538765326
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    Entity Type          |    Organization 
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    Legal Business Name  |    HORIZON DIAGNOSTIC SERVICES, INC 
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Dates
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    Enumeration Date     |    12/08/2020
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    Last Update Date     |    02/05/2021
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Provider Practice Location Address
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    Address Line         |    9319 LBJ FWY STE 112 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75243-3440
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    Country              |    US
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    Telephone            |    877-933-9729
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13988 DIPLOMAT DR 
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    City                 |    FARMERS BRANCH
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    State                |    TX
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    Zip                  |    75234-8807
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    Country              |    US
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    Telephone            |    847-858-6620
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/OWNER
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    Name                 |    MR. MOHAMMED A RAFIQ 
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    Credential           |    
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    Telephone            |    847-858-6620
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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       |    
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    License Number State |    
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