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General NPI Number Information
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NPI Number | 1548295140
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Entity Type | Organization
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Legal Business Name | DIGITAL MAMMOGRAPHY OF NE TEXAS, LTD
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3170 CLARKSVILLE ST
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City | PARIS
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State | TX
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Zip | 75460-8015
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Country | US
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Telephone | 903-784-2571
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Fax | 903-783-0624
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Provider Business Mailing Address
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Address Line | PO BOX 100
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City | PARIS
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State | TX
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Zip | 75461-0100
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Country | US
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Telephone | 903-785-6029
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Fax | 903-785-5421
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STEVEN CLIFFORD
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Credential | M.D.
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Telephone | 903-785-6029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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