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General NPI Number Information
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NPI Number | 1851538318
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Entity Type | Organization
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Legal Business Name | PREFERRED IMAGING ON PLANO PARKWAY, LLC
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 5072 W PLANO PKWY STE 170
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City | PLANO
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State | TX
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Zip | 75093-4469
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Country | US
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Telephone | 972-479-1115
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Fax | 972-346-8015
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Provider Business Mailing Address
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Address Line | PO BOX 268969
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8969
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Country | US
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Telephone | 972-479-1115
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Fax | 972-346-8015
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Authorized Official
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Title or Position | SR VICE PRESIDENT
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Name | LAURA KASSA
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Credential |
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Telephone | 904-515-0362
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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