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General NPI Number Information
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NPI Number | 1699267807
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Entity Type | Organization
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Legal Business Name | REMINGTON IMAGING SERVICES, LLC
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 3751 S DAIRY ASHFORD RD
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City | HOUSTON
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State | TX
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Zip | 77082-5673
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Country | US
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Telephone | 832-328-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 2418 ZEPHYR LN
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City | ROSENBERG
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State | TX
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Zip | 77471-1737
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Country | US
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Telephone | 979-267-3643
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | JUSTIN PEPRAH
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Credential |
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Telephone | 832-920-3339
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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 | 176476
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License Number State | TX
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