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General NPI Number Information
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NPI Number | 1588898183
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Entity Type | Organization
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Legal Business Name | CARDIAC PET IMAGING, LLC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 11050 W LITTLE YORK RD SUITE C-2
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City | HOUSTON
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State | TX
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Zip | 77041-5055
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Country | US
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Telephone | 832-467-4404
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Fax | 832-467-4444
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Provider Business Mailing Address
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Address Line | 11050 W LITTLE YORK RD SUITE C-2
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City | HOUSTON
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State | TX
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Zip | 77041-5055
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Country | US
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Telephone | 832-467-4404
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Fax | 832-467-4444
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GEORGE M HEWITT
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Credential | OWNER
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Telephone | 832-467-4404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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