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General NPI Number Information
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NPI Number | 1649241639
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Entity Type | Organization
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Legal Business Name | OPEN MRI OF SHELBY, LLC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 224 1ST ST N SUITE 150
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City | ALABASTER
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State | AL
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Zip | 35007-8742
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Country | US
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Telephone | 205-663-4674
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Fax | 205-663-4807
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Provider Business Mailing Address
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Address Line | PO BOX 932545
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City | ATLANTA
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State | GA
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Zip | 31193-2545
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Country | US
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Telephone | 205-995-9899
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Fax | 205-995-1255
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | TRACI BROWN
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Credential |
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Telephone | 706-256-3450
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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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