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General NPI Number Information
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NPI Number | 1487609426
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Entity Type | Organization
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Legal Business Name | M. R . IMAGING ASSOCIATES LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 09/29/2017
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Provider Practice Location Address
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Address Line | 960 N 16TH ST SUITE 10
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4175
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Country | US
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Telephone | 541-726-4959
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Fax | 541-741-2188
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Provider Business Mailing Address
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Address Line | 960 N 16TH ST SUITE 10
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4175
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Country | US
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Telephone | 541-726-4959
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Fax | 541-741-2188
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. LYN GAMBLE
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Credential |
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Telephone | 541-726-4959
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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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