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General NPI Number Information
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NPI Number | 1154690550
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Entity Type | Organization
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Legal Business Name | MEDICAL MRI GROUP LLC
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 7999 PHILIPS HWY SUITE 311
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City | JACKSONVILLE
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State | FL
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Zip | 32256-4443
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Country | US
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Telephone | 904-683-6667
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Fax | 904-683-8419
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Provider Business Mailing Address
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Address Line | 7999 PHILIPS HWY SUITE 311
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City | JACKSONVILLE
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State | FL
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Zip | 32256-4443
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Country | US
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Telephone | 904-683-6667
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Fax | 904-683-8419
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Authorized Official
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Title or Position | CEO
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Name | MRS. NINI WASHBURN
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Credential |
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Telephone | 501-442-5207
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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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