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General NPI Number Information
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NPI Number | 1366501637
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Entity Type | Organization
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Legal Business Name | MRI PHYSICIAN ASSOCIATES, PC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 02/21/2011
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Provider Practice Location Address
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Address Line | 2451 GRANT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1031
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Country | US
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Telephone | 215-464-8050
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Fax | 215-673-5767
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Provider Business Mailing Address
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Address Line | 2451 GRANT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1031
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Country | US
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Telephone | 215-464-8050
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Fax | 215-673-5767
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JAIME LOUIS CHECKOFF
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Credential | M.D.
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Telephone | 215-464-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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