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General NPI Number Information
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NPI Number | 1326007766
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Entity Type | Organization
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Legal Business Name | PA OPEN MRI-HARRISBURG, PC
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5400D CHAMBERS HILL RD
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City | HARRISBURG
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State | PA
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Zip | 17111-2505
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Country | US
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Telephone | 717-558-8300
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Fax | 717-561-8024
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Provider Business Mailing Address
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Address Line | 5400D CHAMBERS HILL RD
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City | HARRISBURG
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State | PA
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Zip | 17111-2505
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Country | US
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Telephone | 717-558-8300
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Fax | 717-561-8024
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Authorized Official
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Title or Position | DIRECTOR
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Name | PHILLIP YUSSEN
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Credential | MD
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Telephone | 717-558-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | MD032855E
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License Number State | PA
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