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General NPI Number Information
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NPI Number | 1568468676
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Entity Type | Organization
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Legal Business Name | CENTER FOR MOLECULAR IMAGING LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 8196 WALNUT HILL LN SUITE LL30
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City | DALLAS
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State | TX
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Zip | 75231-7227
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Country | US
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Telephone | 214-345-8300
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Fax | 214-345-2099
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Provider Business Mailing Address
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Address Line | 8196 WALNUT HILL LN SUITE LL30
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City | DALLAS
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State | TX
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Zip | 75231-7227
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Country | US
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Telephone | 214-345-8300
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Fax | 214-345-2099
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Authorized Official
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Title or Position | MANAGED CARE COORDINATOR
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Name | MS. SHERENA LYNN CORNICK-CHIN
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Credential |
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Telephone | 214-345-5063
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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 | L05715
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License Number State | TX
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