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General NPI Number Information
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NPI Number | 1114959699
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Entity Type | Organization
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Legal Business Name | AUSTINTOWN OPEN MRI LLC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 45 N CANFIELD NILES RD
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City | AUSTINTOWN
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State | OH
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Zip | 44515-2343
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Country | US
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Telephone | 330-792-4755
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Fax | 330-793-4883
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Provider Business Mailing Address
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Address Line | 45 N CANFIELD NILES RD
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City | AUSTINTOWN
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State | OH
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Zip | 44515-2343
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Country | US
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Telephone | 330-792-4755
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Fax | 330-793-4883
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Authorized Official
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Title or Position | MANAGER
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Name | MR. LARRY SMITH
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Credential |
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Telephone | 405-210-8409
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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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