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General NPI Number Information
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NPI Number | 1205504941
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Entity Type | Organization
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Legal Business Name | WARREN MRI MANGEMENT LLC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 27333 VAN DYKE AVE
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City | WARREN
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State | MI
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Zip | 48093-2805
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Country | US
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Telephone | 313-779-0091
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Fax | 586-722-2722
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Provider Business Mailing Address
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Address Line | 27333 VAN DYKE AVE
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City | WARREN
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State | MI
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Zip | 48093-2805
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Country | US
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Telephone | 313-779-0091
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Fax | 586-722-2722
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Authorized Official
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Title or Position | OWNER
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Name | NAJM-UL HASSAN
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Credential | OWNER
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Telephone | 313-779-0091
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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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