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General NPI Number Information
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NPI Number | 1336876374
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Entity Type | Organization
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Legal Business Name | MISSOURI IMAGING LLC
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 12152 TESSON FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63128-1779
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Country | US
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Telephone | 314-834-7226
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Fax |
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Provider Business Mailing Address
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Address Line | 12152 TESSON FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63128-1779
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ABDULLAH KHAN
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Credential |
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Telephone | 314-397-5988
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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 |
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License Number State |
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