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General NPI Number Information
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NPI Number | 1952532335
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Entity Type | Organization
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Legal Business Name | ADVANCED PORTABLE X-RAY, LLC
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | 3718 JEFFERSON AVE
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City | TEXARKANA
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State | AR
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Zip | 71854-2244
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Country | US
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Telephone | 903-885-3200
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Fax | 903-439-0462
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Provider Business Mailing Address
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Address Line | 472 FARM ROAD 2297
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-4719
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Country | US
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Telephone | 903-885-3200
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Fax | 903-439-0462
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROY WAYNE MCGAHEE
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Credential |
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Telephone | 817-946-1087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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