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General NPI Number Information
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NPI Number | 1639098775
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Entity Type | Organization
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Legal Business Name | FIRST LOOK MRI ALLIANCE LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 2801 HERITAGE TRACE PKWY STE 2829
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City | FORT WORTH
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State | TX
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Zip | 76177-7559
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Country | US
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Telephone | 682-285-9200
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Fax | 682-285-9201
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Provider Business Mailing Address
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Address Line | 2730 NORTHLAKE RD
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City | GAINESVILLE
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State | GA
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Zip | 30506-1835
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Country | US
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Telephone | 678-316-2677
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN GAY
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Credential | MD
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Telephone | 678-316-2677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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