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General NPI Number Information
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NPI Number | 1992082648
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Entity Type | Organization
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Legal Business Name | UNITED HEALTH RADIOLOGY INC
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 4712 THORNTREE DR
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City | PLANO
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State | TX
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Zip | 75024-2490
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Country | US
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Telephone | 972-596-5135
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 CUSTER RD SUITE 187
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City | PLANO
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State | TX
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Zip | 75023-7599
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Country | US
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Telephone | 972-596-5135
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MILA WALDMAN
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Credential |
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Telephone | 972-596-5135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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