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General NPI Number Information
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NPI Number | 1881713170
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Entity Type | Organization
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Legal Business Name | GULF COAST MOBILE IMAGING
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 306 GRIFFITH DR
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City | ROCKPORT
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State | TX
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Zip | 78382-7120
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Country | US
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Telephone | 361-205-4145
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Fax | 361-729-5440
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Provider Business Mailing Address
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Address Line | 306 GRIFFITH DR
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City | ROCKPORT
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State | TX
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Zip | 78382-7120
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Country | US
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Telephone | 361-205-4145
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Fax | 361-729-5440
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Authorized Official
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Title or Position | OWNER
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Name | MRS. REAHSHELL LEIGH WHEATLEY
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Credential | RDMS,RVT,RT(R)
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Telephone | 361-205-4145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | 100531
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number | 100531
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License Number State | TX
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