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General NPI Number Information
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NPI Number | 1275801631
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Entity Type | Organization
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Legal Business Name | MRI CONSULTANTS LEWES
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 1 CENTURIAN DR STE 107
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City | NEWARK
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State | DE
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Zip | 19713-2154
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Country | US
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Telephone | 302-295-3367
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Fax | 302-999-9897
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Provider Business Mailing Address
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Address Line | 17252 N VILLAGE MAIN BLVD STE 9 FIVE POINTS SHOPPING CENTER
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City | LEWES
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State | DE
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Zip | 19958-6292
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Country | US
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Telephone | 302-566-8600
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Fax | 888-677-7145
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PHILIP W CHAO
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Credential | M.D.
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Telephone | 302-566-6600
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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 | C1-0003457
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License Number State | DE
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