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General NPI Number Information
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NPI Number | 1285307165
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Entity Type | Organization
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Legal Business Name | MEDICAL MRI PC
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 10107 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2008
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Country | US
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Telephone | 718-374-3388
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Fax | 347-308-5757
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Provider Business Mailing Address
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Address Line | 10107 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2008
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Country | US
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Telephone | 718-374-3388
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Fax | 347-308-5757
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOHN SHERRY LYONS
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Credential | MD
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Telephone | 718-374-3388
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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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