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General NPI Number Information
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NPI Number | 1669347787
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Entity Type | Organization
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Legal Business Name | MD-SCAN MRI CORP
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 10737 GATEWAY BLVD W STE 340
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City | EL PASO
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State | TX
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Zip | 79935-4910
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Country | US
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Telephone | 575-639-3829
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Fax | 575-556-9062
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Provider Business Mailing Address
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Address Line | 2525 S TELSHOR BLVD STE 108
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City | LAS CRUCES
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State | NM
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Zip | 88011-9148
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Country | US
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Telephone | 575-639-3829
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Fax | 575-556-9062
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. NADINE M DOMINGUEZ
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Credential |
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Telephone | 575-639-3829
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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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