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General NPI Number Information
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NPI Number | 1396716387
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Entity Type | Organization
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Legal Business Name | MADISON OPEN MRI, LLC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 540 HUGHES RD SUITE 5
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City | MADISON
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State | AL
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Zip | 35758-8999
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Country | US
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Telephone | 256-461-8808
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Fax | 256-461-8898
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Provider Business Mailing Address
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Address Line | 1401 SHOP RD SUITE A
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City | COLUMBIA
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State | SC
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Zip | 29201-4843
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Country | US
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Telephone | 803-988-1093
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Fax | 803-929-0703
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT E ADAMS
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Credential |
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Telephone | 954-732-1043
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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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