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NPI 1427051580

NPI 1427051580 : MRI RADIOLOGY NEWTORK, PA : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1427051580
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    Entity Type          |    Organization 
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    Legal Business Name  |    MRI RADIOLOGY NEWTORK, PA 
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Dates
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    Enumeration Date     |    05/23/2005
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    Last Update Date     |    08/12/2009
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Provider Practice Location Address
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    Address Line         |    3998 FAU BLVD SUITE 200
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33431-6437
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    Country              |    US
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    Telephone            |    561-362-9191
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    Fax                  |    561-394-5674
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Provider Business Mailing Address
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    Address Line         |    3848 FAU BLVD SUITE 200
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33431-6437
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    Country              |    US
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    Telephone            |    561-362-9191
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    Fax                  |    561-394-5674
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Authorized Official
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    Title or Position    |    PRESIDENT/MEDICAL DIRECTOR
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    Name                 |     FRED  STEINBERG 
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    Credential           |    MD
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    Telephone            |    561-362-9191
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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       |    ME56655
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    License Number State |    FL
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