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General NPI Number Information
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NPI Number | 1730377359
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Entity Type | Organization
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Legal Business Name | URGENT PORTABLE X-RAYS, LLC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 9114 MCPHERSON RD
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City | LAREDO
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State | TX
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Zip | 78045-6473
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Country | US
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Telephone | 956-791-0044
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Fax | 956-791-5044
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Provider Business Mailing Address
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Address Line | 5615 SAN DARIO AVE STE 203
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City | LAREDO
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State | TX
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Zip | 78041-3023
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Country | US
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Telephone | 956-791-0044
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Fax | 956-791-5044
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Authorized Official
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Title or Position | MANAGER
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Name | FLAVIO CASTANEDA
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Credential |
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Telephone | 956-791-0044
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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 | L9129
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License Number State | TX
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