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General NPI Number Information
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NPI Number | 1568422996
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Entity Type | Organization
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Legal Business Name | MRI ASSOCIATES OF PALM HARBOR, INC
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 32615 US HIGHWAY 19 N SUITE 4
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City | PALM HARBOR
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State | FL
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Zip | 34684-3176
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Country | US
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Telephone | 727-787-6900
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Fax | 727-216-4789
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Provider Business Mailing Address
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Address Line | 32615 US HIGHWAY 19 N SUITE 4
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City | PALM HARBOR
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State | FL
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Zip | 34684-3176
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Country | US
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Telephone | 727-787-6900
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Fax | 727-787-2754
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | AMANDA MAPLE
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Credential |
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Telephone | 727-787-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | HCC3787
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License Number State | FL
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