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General NPI Number Information
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NPI Number | 1356645220
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Entity Type | Organization
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Legal Business Name | HOWARD OPEN MRI LLC
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 11055 LITTLE PATUXENT PKWY SUITE L9
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City | COLUMBIA
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State | MD
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Zip | 21044-2896
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Country | US
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Telephone | 410-531-1900
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Fax | 410-531-0484
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Provider Business Mailing Address
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Address Line | 6100 DAYLONG LN SUITE 107
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1626
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Country | US
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Telephone | 410-531-1900
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Fax | 410-531-0484
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. SABINE WILSON
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Credential |
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Telephone | 410-531-1900
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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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