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General NPI Number Information
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NPI Number | 1891886354
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Entity Type | Organization
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Legal Business Name | MOBILE X-RAY SERVICES INC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 12/12/2012
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Provider Practice Location Address
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Address Line | 8200 N CLASSEN BLVD SUITE 123
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-2128
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Country | US
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Telephone | 405-826-3370
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Fax | 405-470-1340
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Provider Business Mailing Address
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Address Line | 1209 MOCKINGBIRD LANE
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City | GUTHRIE
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State | OK
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Zip | 73044-2070
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Country | US
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Telephone | 405-282-4647
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Fax | 405-282-1758
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DOUGLAS M HEHN
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Credential |
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Telephone | 405-282-4647
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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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