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General NPI Number Information
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NPI Number | 1598702870
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Entity Type | Organization
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Legal Business Name | OPEN MRI & IMAGING CENTER OF ELKTON,LLC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 301 AUGUSTINE HERMAN HWY STE A
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City | ELKTON
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State | MD
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Zip | 21921-6587
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Country | US
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Telephone | 410-620-1900
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Fax | 410-620-4777
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Provider Business Mailing Address
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Address Line | 4000 NEXUS DR # E3
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City | WILMINGTON
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State | DE
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Zip | 19803-3000
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Country | US
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Telephone | 302-428-6782
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, HOSPITAL BILLING
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Name | JUDY RIESEN
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Credential |
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Telephone | 302-428-6782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty 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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | M292
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License Number State | MD
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