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General NPI Number Information
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NPI Number | 1134172737
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Entity Type | Organization
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Legal Business Name | VESTAVIA MRI, LLC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1360 MONTGOMERY HWY SUITE 110
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City | BIRMINGHAM
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State | AL
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Zip | 35216-2749
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Country | US
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Telephone | 205-263-4674
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Fax |
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Provider Business Mailing Address
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Address Line | 1360 MONTGOMERY HWY SUITE 110
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City | BIRMINGHAM
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State | AL
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Zip | 35216-2749
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Country | US
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Telephone | 205-263-4674
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SWAID NOFAL SWAID
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Credential | M.D.
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Telephone | 205-263-4674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State | AL
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