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General NPI Number Information
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NPI Number | 1861639635
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Entity Type | Organization
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Legal Business Name | LOS ALAMOS IMAGING CENTER LP
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 427 E DURANTA AVE
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City | ALAMO
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State | TX
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Zip | 78516-3407
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Country | US
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Telephone | 956-792-5270
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Fax | 956-519-7813
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Provider Business Mailing Address
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Address Line | 427 E DURANTA AVE
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City | ALAMO
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State | TX
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Zip | 78516-3407
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Country | US
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Telephone | 956-792-5270
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Fax | 956-519-7813
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ISRAEL SILVA
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Credential | R.T. (R)
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Telephone | 956-792-5270
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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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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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