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General NPI Number Information
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NPI Number | 1851499792
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Entity Type | Organization
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Legal Business Name | ALPINE DIAGNOSTIC IMAGING, PA
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 2600 N HIGHWAY 118
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City | ALPINE
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State | TX
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Zip | 79830-2002
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Country | US
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Telephone | 432-837-0207
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Fax | 432-837-0275
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Provider Business Mailing Address
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Address Line | 2600 N HIGHWAY 118
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City | ALPINE
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State | TX
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Zip | 79830-2002
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Country | US
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Telephone | 432-837-0207
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Fax | 432-837-0275
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERHARD MOELLER
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Credential | M.D.
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Telephone | 432-837-0207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | K9132
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License Number State | TX
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