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General NPI Number Information
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NPI Number | 1164443602
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Entity Type | Organization
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Legal Business Name | THE MRI CENTER OF NORTHWEST ALABAMA LLC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 150 MEDICAL DR.
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City | WINFIELD
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State | AL
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Zip | 35594
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Country | US
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Telephone | 205-487-7808
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Fax | 205-487-7852
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-4536
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8913
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD J. BIVACCA
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Credential |
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Telephone | 615-920-7000
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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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