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General NPI Number Information
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NPI Number | 1184676645
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Entity Type | Organization
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Legal Business Name | A1 OPEN MRI, INC.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 2825 N UNIVERSITY DR SUITE 100
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1440
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Country | US
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Telephone | 954-596-5222
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Fax | 954-596-5020
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Provider Business Mailing Address
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Address Line | 2825 N UNIVERSITY DR SUITE # 100
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1440
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Country | US
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Telephone | 954-596-5222
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Fax | 954-596-5020
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RITA HEARST
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Credential |
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Telephone | 954-596-5222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | HCC6741
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License Number State | FL
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