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General NPI Number Information
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NPI Number | 1316984719
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Entity Type | Organization
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Legal Business Name | OPENSIDED MRI OF CLEVELAND, LLC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 30400 DETROIT RD SUITE 30
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City | WESTLAKE
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State | OH
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Zip | 44145
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Country | US
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Telephone | 888-808-6736
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Fax | 440-808-0289
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Provider Business Mailing Address
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Address Line | 30400 DETROIT RD SUITE 30
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City | WESTLAKE
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State | OH
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Zip | 44145
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Country | US
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Telephone | 888-808-6736
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Fax | 440-808-0289
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Authorized Official
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Title or Position | OFFICER TREASURER
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Name | LINDA RHODES
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Credential |
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Telephone | 804-217-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number |
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License Number State |
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