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General NPI Number Information
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NPI Number | 1568395507
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PARK IMAGING
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 7777 FOREST LN STE C112
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City | DALLAS
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State | TX
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Zip | 75230-6832
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Country | US
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Telephone | 732-379-9252
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Fax |
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Provider Business Mailing Address
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Address Line | 6731 SHELL FLOWER LN
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City | DALLAS
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State | TX
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Zip | 75252-5939
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Country | US
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Telephone | 732-379-9252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID GOLDENBERG
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Credential | ARRT (R) (CT) (MR)
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Telephone | 732-379-9252
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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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