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General NPI Number Information
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NPI Number | 1962718361
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Entity Type | Organization
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Legal Business Name | RAWLINGS B TANYI
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 110 W RANDOL MILL RD STE 228
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City | ARLINGTON
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State | TX
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Zip | 76011-4611
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Country | US
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Telephone | 855-214-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 110 W RANDOL MILL RD STE 228
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City | ARLINGTON
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State | TX
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Zip | 76011-4611
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAWLINGS B TANYI
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Credential | ARRT, RT (R)
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Telephone | 800-540-5000
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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 | R37095
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License Number State | TX
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