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NPI 1013018795

NPI 1013018795 : OPEN MRI OF DURANT,LLC : DURANT, OK

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General NPI Number Information
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    NPI Number           |    1013018795
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    Entity Type          |    Organization 
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    Legal Business Name  |    OPEN MRI OF DURANT,LLC 
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Dates
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    Enumeration Date     |    09/26/2006
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    Last Update Date     |    08/04/2022
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Provider Practice Location Address
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    Address Line         |    2911 W UNIVERSITY BLVD 
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    City                 |    DURANT
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    State                |    OK
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    Zip                  |    74701-2978
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    Country              |    US
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    Telephone            |    580-924-7030
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    Fax                  |    580-924-5448
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Provider Business Mailing Address
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    Address Line         |    2911 W UNIVERSITY BLVD 
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    City                 |    DURANT
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    State                |    OK
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    Zip                  |    74701-2978
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    Country              |    US
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    Telephone            |    580-924-7030
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    Fax                  |    580-924-5448
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAVID  SAVAGE 
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    Credential           |    
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    Telephone            |    214-504-6156
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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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