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General NPI Number Information
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NPI Number | 1104376987
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Entity Type | Organization
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Legal Business Name | SMART CHOICE MRI, LLC
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 2830 S HIGHLAND AVE UNIT 9
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City | LOMBARD
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State | IL
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Zip | 60148-7135
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Country | US
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Telephone | 844-633-3674
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Fax |
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Provider Business Mailing Address
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Address Line | 2830 S HIGHLAND AVE UNIT 9
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City | LOMBARD
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State | IL
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Zip | 60148-7135
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Country | US
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Telephone | 844-633-3674
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | CHRISTINE HERBST
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Credential |
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Telephone | 414-807-5733
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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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