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General NPI Number Information
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NPI Number | 1740689470
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Entity Type | Organization
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Legal Business Name | DIRECT MOBILE IMAGING
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 2921 N TENAYA WAY
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City | LAS VEGAS
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State | NV
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Zip | 89128-1409
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Country | US
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Telephone | 702-586-3005
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Fax | 702-586-0391
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Provider Business Mailing Address
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Address Line | 2921 N TENAYA WAY
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City | LAS VEGAS
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State | NV
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Zip | 89128-1409
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Country | US
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Telephone | 702-586-3005
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Fax | 702-586-0391
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Authorized Official
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Title or Position | MANAGER
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Name | AVI SCHLESINGER
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Credential |
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Telephone | 310-936-9395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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