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General NPI Number Information
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NPI Number | 1184218265
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Entity Type | Organization
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Legal Business Name | FIRST LOOK MRI ALPHARETTA
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 220 S MAIN ST
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City | ALPHARETTA
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State | GA
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Zip | 30009-2554
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Country | US
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Telephone | 678-316-2677
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 NORTHLAKE RD
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City | GAINESVILLE
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State | GA
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Zip | 30506-1835
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Country | US
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Telephone | 678-316-2677
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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. BRIAN GAY
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Credential | MD
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Telephone | 678-316-2677
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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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