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General NPI Number Information
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NPI Number | 1063692119
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Entity Type | Organization
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Legal Business Name | MRI ASSOCIATES OF VIRGINIA
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 2200 OPITZ BLVD
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3321
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Country | US
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Telephone | 301-824-3260
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 658
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City | BALTIMORE
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State | MD
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Zip | 21203-0658
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Country | US
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Telephone | 877-845-9689
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL FRIEDMAN
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Credential | MD
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Telephone | 703-824-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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