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General NPI Number Information
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NPI Number | 1063605848
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Entity Type | Organization
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Legal Business Name | OPEN MRI OF MICHIGAN
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 411 W 13 MILE RD SUITE 200
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1536
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Country | US
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Telephone | 248-585-4569
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Fax | 248-585-4620
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Provider Business Mailing Address
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Address Line | 43750 GARFIELD RD SUITE 211
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1135
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Country | US
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Telephone | 877-996-9975
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Fax | 586-228-4533
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER JOHNSON
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Credential |
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Telephone | 586-228-4560
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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 | MI
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