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General NPI Number Information
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NPI Number | 1275527939
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Entity Type | Organization
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Legal Business Name | WINCHESTER OPEN MRI LLC
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 160 EXETER DR SUITE 104
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City | WINCHESTER
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State | VA
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Zip | 22603-8614
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Country | US
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Telephone | 540-431-3567
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71303
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City | CHARLOTTE
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State | NC
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Zip | 28272-1303
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Country | US
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Telephone | 330-564-2660
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD REPASKY
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Credential | MD
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Telephone | 540-545-4674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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