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General NPI Number Information
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NPI Number | 1578721130
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Entity Type | Organization
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Legal Business Name | ONE STEP DIAGNOSTIC V LLC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 4301 CARTER CREEK PKWY SUITE 101
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City | BRYAN
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State | TX
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Zip | 77802-4485
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Country | US
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Telephone | 979-260-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 CARTER CREEK PKWY SUITE 101
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City | BRYAN
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State | TX
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Zip | 77802-4485
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Country | US
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Telephone | 979-260-1400
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. FARHAN FAIZ
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Credential |
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Telephone | 281-492-2400
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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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