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General NPI Number Information
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NPI Number | 1861449894
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Entity Type | Organization
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Legal Business Name | BAAXTEN, LLC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 2302 S 77 SUNSHINESTRIP STE 101
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City | HARLINGEN
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State | TX
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Zip | 78550-8371
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Country | US
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Telephone | 956-412-2121
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Fax | 956-412-2125
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Provider Business Mailing Address
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Address Line | 1221 E 10TH ST STE 107
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City | WESLACO
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State | TX
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Zip | 78596-4282
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Country | US
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Telephone | 956-412-2121
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Fax | 956-412-2125
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MAGDALENA LEVINE
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Credential |
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Telephone | 956-412-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | R30029
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License Number State | TX
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