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General NPI Number Information
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NPI Number | 1134476385
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Entity Type | Organization
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Legal Business Name | MRI EXPRESS CORP
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 4567 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-2306
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Country | US
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Telephone | 305-447-4461
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Fax | 305-447-4460
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Provider Business Mailing Address
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Address Line | 6095 NW 72ND AVE
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City | MIAMI
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State | FL
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Zip | 33166-3737
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Country | US
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Telephone | 786-414-3222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE GUILLERMO ALVAREZ
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Credential | M.D
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Telephone | 786-414-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice 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 | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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