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General NPI Number Information
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NPI Number | 1417909235
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Entity Type | Organization
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Legal Business Name | MRIGP INC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 2490 W 26TH AVE SUITE 120A
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City | DENVER
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State | CO
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Zip | 80211-5314
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Country | US
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Telephone | 303-223-4441
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Fax |
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Provider Business Mailing Address
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Address Line | 2490 W 26TH AVE SUITE 220A
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City | DENVER
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State | CO
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Zip | 80211-5314
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Country | US
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Telephone | 303-223-4441
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JYL A NIETO
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Credential |
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Telephone | 303-433-9729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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