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General NPI Number Information
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NPI Number | 1952850810
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC IMAGING CENTER AT TEXAS NEUROLOGY
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 6301 GASTON AVE SUITE 180
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City | DALLAS
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State | TX
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Zip | 75214-3922
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Country | US
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Telephone | 214-826-6700
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Fax | 214-827-4343
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Provider Business Mailing Address
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Address Line | 6301 GASTON AVE SUITE 180
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City | DALLAS
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State | TX
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Zip | 75214-3922
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Country | US
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Telephone | 214-826-6700
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Fax | 214-827-4343
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Authorized Official
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Title or Position | CEO
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Name | DAVID EVANS
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Credential |
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Telephone | 214-279-0324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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