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General NPI Number Information
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NPI Number | 1912989054
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Entity Type | Organization
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Legal Business Name | NUMED IMAGING CENTERS, INC
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 314 S RAGSDALE ST
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City | JACKSONVILLE
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State | TX
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Zip | 75766-4936
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Country | US
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Telephone | 903-589-8164
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Fax | 903-589-4906
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Provider Business Mailing Address
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Address Line | PO BOX 1098
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City | DENTON
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State | TX
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Zip | 76202-1098
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Country | US
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Telephone | 940-365-5700
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Fax | 940-365-5077
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Authorized Official
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Title or Position | BILLING COORDINATOR/NETWORK MANAGER
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Name | MARSHA L HARRIS
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Credential |
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Telephone | 940-365-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471N0900X
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Taxonomy Name | Nuclear Medicine Technology Radiologic Technologist
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License Number | L05225
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License Number State | TX
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