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General NPI Number Information
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NPI Number | 1699760074
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Entity Type | Organization
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Legal Business Name | OAK HILL RADIOLOGY ASSOC INC
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 409 COTTAGE RD
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City | CARTHAGE
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State | TX
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Zip | 75633-1466
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Country | US
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Telephone | 903-694-4942
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Fax | 903-685-0192
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Provider Business Mailing Address
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Address Line | 269 COUNTY ROAD 193
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City | GARY
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State | TX
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Zip | 75643-3793
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Country | US
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Telephone | 903-685-0193
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Fax | 903-685-0192
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Authorized Official
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Title or Position | OWNER
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Name | DONALD RALPH LASH
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Credential | DO
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Telephone | 903-685-0193
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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 | 32770
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 053088
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | R4009
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D7619
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License Number State | TX
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