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General NPI Number Information
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NPI Number | 1821029224
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Entity Type | Organization
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Legal Business Name | CENTRAL TX RADIOLOGY & SPINE CONSULTANTS PA
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 4316 JAMES CASEY ST STE E1
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City | AUSTIN
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State | TX
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Zip | 78745-1157
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Country | US
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Telephone | 512-306-0648
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 164326
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City | AUSTIN
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State | TX
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Zip | 78716-4326
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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 | RADIOLOGIST
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Name | DR. SCOTT EUGENE CAMPBELL
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Credential | MD
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Telephone | 512-306-0648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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