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General NPI Number Information
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NPI Number | 1619922184
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Entity Type | Organization
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Legal Business Name | E PLUS PET IMAGING XII LP
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1250 R NORTHWEST HIGHWAY
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City | GARLAND
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State | TX
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Zip | 75041-5851
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Country | US
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Telephone | 972-279-5172
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Fax | 972-279-6948
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Provider Business Mailing Address
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Address Line | 1250 NORTHWEST HWY STE R
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City | GARLAND
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State | TX
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Zip | 75041-5842
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Country | US
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Telephone | 972-279-5172
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Fax | 972-279-6948
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT & CFO
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Name | CHAOQIANG LIN
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Credential |
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Telephone | 214-587-4079
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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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