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General NPI Number Information
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NPI Number | 1922669035
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Entity Type | Organization
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Legal Business Name | WESTCHASE DIAGNOSTIC IMAGING CENTER LLC
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 13450 RICHMOND AVE STE 300
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City | HOUSTON
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State | TX
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Zip | 77082-6895
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Country | US
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Telephone | 281-720-6960
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Fax |
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Provider Business Mailing Address
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Address Line | 13450 RICHMOND AVE STE 300
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City | HOUSTON
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State | TX
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Zip | 77082-6895
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Country | US
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Telephone | 281-720-6960
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. AZIMEH NEMATPOUR
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Credential | RADIOLOGY TECHNOLOGY
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Telephone | 281-720-6960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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