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General NPI Number Information
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NPI Number | 1891391942
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Entity Type | Organization
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Legal Business Name | LIVE HEALTHY IMAGING LLC
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 6565 WEST LOOP S STE 100
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City | BELLAIRE
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State | TX
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Zip | 77401-3504
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Country | US
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Telephone | 832-344-3512
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Fax | 832-821-9038
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Provider Business Mailing Address
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Address Line | 6565 WEST LOOP S STE 100
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City | BELLAIRE
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State | TX
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Zip | 77401-3504
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Country | US
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Telephone | 832-641-0025
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Fax | 832-895-7398
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. BENJAMIN Y CHEONG
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Credential | MD
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Telephone | 832-858-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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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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Taxonomy #4
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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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