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General NPI Number Information
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NPI Number | 1215440144
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Entity Type | Organization
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Legal Business Name | FOCUS IMAGING LLC
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 21784 W 11 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3718
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Country | US
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Telephone | 248-480-8888
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Fax | 248-450-5577
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Provider Business Mailing Address
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Address Line | 21784 W 11 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3718
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Country | US
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Telephone | 248-480-8888
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Fax | 248-450-5577
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Authorized Official
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Title or Position | MANAGER
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Name | MR. RAMIL YUSUBOV
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Credential |
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Telephone | 248-480-8888
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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 | 17-0103
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License Number State | MI
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