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General NPI Number Information
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NPI Number | 1467336263
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Entity Type | Organization
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Legal Business Name | MRI AND 3D DIAGNOSTIC CENTER LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 7158 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6751
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Country | US
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Telephone | 407-601-3604
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Fax | 407-412-5115
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Provider Business Mailing Address
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Address Line | 7158 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6751
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Country | US
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Telephone | 407-601-3604
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Fax | 407-412-5115
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Authorized Official
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Title or Position | ASSISTANT
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Name | MS. STACY A MASTROSIMONE
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Credential |
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Telephone | 561-392-3341
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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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