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General NPI Number Information
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NPI Number | 1033112834
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Entity Type | Organization
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Legal Business Name | OPEN MRI OF FORT WORTH, L.C.
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6500 WEST FWY STE 104
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City | FORT WORTH
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State | TX
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Zip | 76116-2139
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Country | US
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Telephone | 817-763-5900
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Fax | 817-763-5858
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Provider Business Mailing Address
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Address Line | 100 PARAGON DR STE 200
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City | MONTVALE
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State | NJ
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Zip | 07645-1718
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Country | US
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Telephone | 201-573-8080
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Fax | 201-775-4306
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Authorized Official
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Title or Position | CEO
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Name | LAWRENCE M. BUCHWALTER
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Credential |
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Telephone | 201-573-8080
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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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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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