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General NPI Number Information
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NPI Number | 1689842189
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Entity Type | Organization
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Legal Business Name | REGIONAL RADIOLOGISTS
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 3111 CENTER POINT DR STE A
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City | EDINBURG
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State | TX
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Zip | 78539-8667
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Country | US
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Telephone | 956-687-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 CENTER POINT DR STE A
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City | EDINBURG
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State | TX
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Zip | 78539-8667
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Country | US
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Telephone | 956-687-8424
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JEANETTE GARCIA
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Credential |
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Telephone | 956-687-8424
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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 | H-3510
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License Number State | TX
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