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General NPI Number Information
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NPI Number | 1427839521
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Entity Type | Organization
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Legal Business Name | CLARUS IMAGING LLC
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 639 S WALKER ST STE B
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2124
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Country | US
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Telephone | 516-661-0076
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1522
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City | BLOOMINGTON
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State | IN
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Zip | 47402-1522
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CHRISTOPHER J CHEN
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Credential | PHD
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Telephone | 516-661-0076
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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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