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NPI 1588788582

NPI 1588788582 : INSIGHT HEALTH CORP : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1588788582
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    Entity Type          |    Organization 
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    Legal Business Name  |    INSIGHT HEALTH CORP 
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Dates
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    Enumeration Date     |    03/17/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    11617 N CENTRAL EXPY STE 132
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75243-3800
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    Country              |    US
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    Telephone            |    214-369-3795
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    Fax                  |    214-692-7953
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Provider Business Mailing Address
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    Address Line         |    26250 ENTERPRISE CT STE 100
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    City                 |    LAKE FOREST
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    State                |    CA
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    Zip                  |    92630-8406
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    Country              |    US
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    Telephone            |    949-282-6000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SENIOR VP & CHIEF ACCOUNTING OFCR
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    Name                 |     BRIAN G DRAZBA 
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    Credential           |    
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    Telephone            |    949-282-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    293D00000X
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    Taxonomy Name        |    Physiological Laboratory
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    License Number       |    
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    License Number State |    
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