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General NPI Number Information
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NPI Number | 1023075298
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Entity Type | Organization
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Legal Business Name | OPEN MRI INC
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 3521 INVESTMENT BLVD STE 5
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City | HAYWARD
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State | CA
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Zip | 94545-3704
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Country | US
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Telephone | 510-670-0700
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Fax | 510-784-1142
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Provider Business Mailing Address
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Address Line | FILE 57174
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City | LOS ANGELES
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State | CA
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Zip | 90074-0001
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Country | US
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Telephone | 949-282-6000
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Fax |
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Authorized Official
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Title or Position | SENIOR V.P. & CHIEF ACCOUNTING OFCR
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Name | MR. BRIAN G DRAZBA
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Credential |
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Telephone | 949-282-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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