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General NPI Number Information
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NPI Number | 1881298073
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Entity Type | Organization
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Legal Business Name | CLEAR IMAGING AND DIAGNOSTICS LLC
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Dates
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Enumeration Date | 11/28/2020
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Last Update Date | 11/28/2020
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Provider Practice Location Address
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Address Line | 12435 BEECHNUT ST STE 108
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City | HOUSTON
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State | TX
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Zip | 77072-3989
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Country | US
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Telephone | 832-699-3100
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Fax | 832-699-2001
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Provider Business Mailing Address
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Address Line | 12435 BEECHNUT ST STE 108
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City | HOUSTON
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State | TX
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Zip | 77072-3989
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Country | US
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Telephone | 832-867-9441
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SCOTT PHUONG HOANG
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Credential |
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Telephone | 832-867-9441
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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 | 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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