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General NPI Number Information
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NPI Number | 1629271705
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Entity Type | Organization
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Legal Business Name | IMAGING PARTNERS OF SAN ANTONIO, LLLP
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 423 TREELINE PARK SUITE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1997
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Country | US
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Telephone | 210-248-0650
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Fax | 210-826-1470
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Provider Business Mailing Address
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Address Line | 423 TREELINE PARK SUITE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1997
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Country | US
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Telephone | 210-248-0650
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Fax | 210-826-1470
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. GARY WRIGHT
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Credential |
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Telephone | 813-675-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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