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General NPI Number Information
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NPI Number | 1619290707
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Entity Type | Organization
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Legal Business Name | OPEN MRI FOR THE POOR CORPORATION
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 10900 WARNER AVE STE 117
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3846
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Country | US
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Telephone | 657-464-9054
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX G
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City | GARDEN GROVE
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State | CA
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Zip | 92842-5076
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Country | US
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Telephone | 657-464-9054
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HEN PHU TROUNG
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Credential |
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Telephone | 714-277-2266
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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 | 3239004
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License Number State | CA
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