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General NPI Number Information
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NPI Number | 1699052472
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Entity Type | Organization
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Legal Business Name | SUGAR LAND IMAGING
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 8700 COMMERCE PARK DR STE 208
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City | HOUSTON
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State | TX
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Zip | 77036-7431
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Country | US
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Telephone | 281-459-0810
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Fax | 281-862-7124
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Provider Business Mailing Address
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Address Line | 8700 COMMERCE PARK DR STE 208
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City | HOUSTON
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State | TX
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Zip | 77036-7431
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Country | US
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Telephone | 281-459-0810
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Fax | 281-862-7124
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Authorized Official
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Title or Position | CEO
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Name | MR. AIJAZ AHMAD
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Credential |
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Telephone | 832-605-3284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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