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General NPI Number Information
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NPI Number | 1811280944
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Entity Type | Organization
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Legal Business Name | DFW DIAGNOSTICS
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 1020 N DAVIS DR
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City | ARLINGTON
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State | TX
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Zip | 76012-3240
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Country | US
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Telephone | 972-859-0534
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2009
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City | MANSFIELD
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State | TX
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Zip | 76063-0018
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Country | US
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Telephone | 972-859-0534
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTI M RODRIGUEZ
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Credential |
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Telephone | 972-859-0534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number |
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License Number State |
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