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General NPI Number Information
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NPI Number | 1689782344
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Entity Type | Organization
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Legal Business Name | SILVERSIDE OPEN MRI AND IMAGING CENTER, LLC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 2501 SILVERSIDE RD SUITE 2
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City | WILMINGTON
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State | DE
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Zip | 19810-3726
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Country | US
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Telephone | 302-246-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 SILVERSIDE RD SUITE 2
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City | WILMINGTON
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State | DE
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Zip | 19810-3726
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Country | US
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Telephone | 302-246-2000
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Fax | 302-246-2010
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. JOHN ROLLINS III
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Credential |
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Telephone | 302-246-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2006207479
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License Number State | DE
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