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General NPI Number Information
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NPI Number | 1750193272
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Entity Type | Organization
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Legal Business Name | VIRTUSCAN IMAGING LLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 3939 US HIGHWAY 80 E STE 455
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City | MESQUITE
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State | TX
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Zip | 75150-3355
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Country | US
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Telephone | 972-903-5148
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Fax |
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Provider Business Mailing Address
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Address Line | 311 SILVER CREEK TRL
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City | SUNNYVALE
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State | TX
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Zip | 75182-3268
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Country | US
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Telephone | 972-903-5148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DARLENE ROBINSON
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Credential |
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Telephone | 972-903-5148
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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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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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