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General NPI Number Information
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NPI Number | 1760139034
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Entity Type | Organization
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Legal Business Name | MYMOBILEXRAY, PLLC
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 1400 NORTHGATE LN
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City | MCALLEN
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State | TX
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Zip | 78504-9558
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Country | US
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Telephone | 956-309-1310
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 NORTHGATE LN
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City | MCALLEN
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State | TX
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Zip | 78504-9558
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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 | CEO/CMO
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Name | MARIO MOYA
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Credential | MD
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Telephone | 956-309-1310
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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 |
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License Number State |
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