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General NPI Number Information
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NPI Number | 1033213475
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Entity Type | Organization
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Legal Business Name | MRI ASSOCIATES
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 2475 BETHANY ROAD
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City | SYCAMORE
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State | IL
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Zip | 60178
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Country | US
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Telephone | 815-748-3674
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Fax | 815-748-3673
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Provider Business Mailing Address
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Address Line | 2475 BETHANY RD
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City | SYCAMORE
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State | IL
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Zip | 60178-3116
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Country | US
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Telephone | 815-748-3674
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Fax | 815-748-3673
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN G DRATHS-HANSON
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Credential | MD
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Telephone | 815-748-3674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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