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General NPI Number Information
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NPI Number | 1609093368
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Entity Type | Organization
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Legal Business Name | PRAIRIE HEALTH SERVICES, LLP
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1301 OAKWOOD CT
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City | FLOWER MOUND
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State | TX
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Zip | 75028-3694
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Country | US
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Telephone | 469-867-1435
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Fax |
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Provider Business Mailing Address
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Address Line | 503 W HARWOOD RD
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City | HURST
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State | TX
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Zip | 76054-3163
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Country | US
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Telephone | 817-282-9992
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Fax | 817-282-9993
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Authorized Official
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Title or Position | CEO
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Name | LAURENCE FRAYNE
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Credential |
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Telephone | 817-282-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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