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General NPI Number Information
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NPI Number | 1750188041
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Entity Type | Organization
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Legal Business Name | CRITICAL RADIOLOGY, PC
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 765 ONYX CT
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City | SAN JOSE
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State | CA
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Zip | 95117-2541
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Country | US
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Telephone | 702-871-8535
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 MCLEOD DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89121-2257
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Country | US
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Telephone | 702-871-8535
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHANNON DAVID CRAWFORD
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Credential | MD
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Telephone | 702-871-8535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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