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General NPI Number Information
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NPI Number | 1437433935
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL DIAGNOSTIC READING MRI INC
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 2800 N MILITARY TRL STE 108
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-2951
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Country | US
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Telephone | 561-616-9095
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Fax | 561-616-9094
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Provider Business Mailing Address
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Address Line | 2800 N MILITARY TRL STE 108
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-2951
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Country | US
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Telephone | 561-616-9095
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Fax | 561-616-9094
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. THOMAS TUREK
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Credential | M.D.
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Telephone | 900-400-5752
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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 | ME91047
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License Number State | FL
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