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General NPI Number Information
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NPI Number | 1689611303
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Entity Type | Organization
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Legal Business Name | MIDWEST OPEN MRI, LLC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300 S DOUGLAS BLVD
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City | MIDWEST CITY
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State | OK
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Zip | 73130-7114
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Country | US
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Telephone | 405-736-9222
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Fax | 405-736-9144
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Provider Business Mailing Address
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Address Line | 1044 SW 44TH ST SUITE 600
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-3609
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Country | US
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Telephone | 405-631-4263
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Fax | 405-631-4820
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | DENNY OREB
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Credential |
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Telephone | 405-609-6146
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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 | N/A
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License Number State | OK
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