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General NPI Number Information
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NPI Number | 1386034346
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Entity Type | Organization
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Legal Business Name | OHRI, LLC
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 398 E ALTAMONTE DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4402
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Country | US
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Telephone | 407-331-3955
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Fax | 407-331-9481
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Provider Business Mailing Address
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Address Line | 1414 KUHL AVE # MP212
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City | ORLANDO
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State | FL
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Zip | 32806-2008
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Country | US
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Telephone | 407-331-3955
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Fax | 407-331-9481
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | YESENIA GOMEZ MOSHER
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Credential |
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Telephone | 321-842-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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