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General NPI Number Information
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NPI Number | 1477935427
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Entity Type | Organization
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Legal Business Name | ADVANCED MAGNETIC RESONANCE IMAGING
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 2051 W 25TH ST STE. D
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City | YUMA
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State | AZ
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Zip | 85364-6912
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Country | US
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Telephone | 928-726-0811
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Fax | 928-726-0833
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Provider Business Mailing Address
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Address Line | 2051 W 25TH ST STE. D
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City | YUMA
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State | AZ
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Zip | 85364-6912
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Country | US
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Telephone | 928-726-0811
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Fax | 928-726-0833
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Authorized Official
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Title or Position | OWNER
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Name | MR. JIM CORLETT
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Credential |
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Telephone | 949-798-9225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State | AZ
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