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General NPI Number Information
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NPI Number | 1528217981
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Entity Type | Organization
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Legal Business Name | MRI CONSULTANTS LLC
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 03/31/2009
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Provider Practice Location Address
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Address Line | 363 W BIG BEAVER RD SUITE 200
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City | TROY
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State | MI
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Zip | 48084-5220
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Country | US
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Telephone | 248-743-0876
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Fax | 248-619-9774
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Provider Business Mailing Address
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Address Line | 30781 STEPHENSON HWY
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City | MADISON HTS
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State | MI
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Zip | 48071-1618
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Country | US
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Telephone | 248-583-8922
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Fax | 248-583-8969
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Authorized Official
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Title or Position | CEO
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Name | RAM GUNABALAN
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Credential | MD
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Telephone | 248-743-0876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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