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General NPI Number Information
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NPI Number | 1083635247
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Entity Type | Organization
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Legal Business Name | COMMUNITY MRI SERVICES, LLC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 300 2ND AVE NE
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City | JAMESTOWN
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State | ND
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Zip | 58401-3373
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Country | US
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Telephone | 701-253-5800
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Fax | 701-253-5801
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Provider Business Mailing Address
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Address Line | 3223 32ND AVENUE S SUITE 201
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City | FARGO
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State | ND
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Zip | 58103-6278
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Country | US
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Telephone | 701-297-0305
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Fax | 701-235-9660
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DANIEL J PAULSON
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Credential |
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Telephone | 701-297-0305
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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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