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General NPI Number Information
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NPI Number | 1255401592
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Entity Type | Organization
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Legal Business Name | WEST PLAINS OPEN MRI LLC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 805 KENTUCKY SUITE 5
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City | WEST PLAINS
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State | MO
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Zip | 65775
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Country | US
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Telephone | 417-255-2430
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Fax | 417-255-9579
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Provider Business Mailing Address
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Address Line | 805 KENTUCKY SUITE 5
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City | WEST PLAINS
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State | MO
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Zip | 65775
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Country | US
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Telephone | 417-255-2430
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Fax | 417-255-9579
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL R MOORE
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Credential |
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Telephone | 417-255-2430
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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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Taxonomy #2
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Taxonomy Code | 2471B0102X
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Taxonomy Name | Bone Densitometry Radiologic Technologist
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License Number |
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License Number State |
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