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General NPI Number Information
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NPI Number | 1730055237
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Entity Type | Organization
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Legal Business Name | DYNAMIC RADIOLOGY SPECIALISTS LLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 403 BURKARTH RD
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City | WARRENSBURG
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State | MO
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Zip | 64093-3101
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Country | US
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Telephone | 816-648-6482
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Fax |
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Provider Business Mailing Address
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Address Line | 403 BURKARTH RD
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City | WARRENSBURG
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State | MO
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Zip | 64093-3101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RADIOLOGY - DIAGNOSTIC RADIOLOGY
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Name | TRAVIS BROWN
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Credential |
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Telephone | 816-404-4862
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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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