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General NPI Number Information
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NPI Number | 1861575615
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Entity Type | Organization
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Legal Business Name | PREFERRED IMAGING OF PLANO, LLC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 2205 N CENTRAL EXPWY. STE. 185
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City | PLANO
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State | TX
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Zip | 75075-2591
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Country | US
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Telephone | 972-312-0799
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Fax | 972-346-6566
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Provider Business Mailing Address
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Address Line | 8300 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-5406
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Country | US
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Telephone | 800-730-0050
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | TONI COOPER
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Credential |
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Telephone | 754-206-6198
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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 |
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License Number State |
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