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General NPI Number Information
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NPI Number | 1891829040
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Entity Type | Organization
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Legal Business Name | CENTRAL DIAGNOSTIC IMAGING OF BROWNSVILLE LLC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 864 CENTRAL BLVD SUITE # 600
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7551
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Country | US
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Telephone | 956-541-3512
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Fax | 956-541-1380
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Provider Business Mailing Address
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Address Line | 864 CENTRAL BLVD SUITE # 600
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7551
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Country | US
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Telephone | 956-541-3512
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Fax | 956-541-1380
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | MS. GLORIA ELSA ALCALA
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Credential |
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Telephone | 956-541-3512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number |
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License Number State |
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