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General NPI Number Information
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NPI Number | 1144336025
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Entity Type | Organization
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Legal Business Name | OPEN MRI OF WARREN LLC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 430 MEMORIAL PKWY
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865
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Country | US
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Telephone | 908-213-3600
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Fax | 908-213-3601
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Provider Business Mailing Address
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Address Line | 430 MEMORIAL PKWY
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865
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Country | US
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Telephone | 908-213-3600
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Fax | 908-213-3601
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH GALAZIN
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Credential |
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Telephone | 908-213-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology 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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 23001
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License Number State | NJ
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Taxonomy #3
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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 | 23001
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License Number State | NJ
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