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General NPI Number Information
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NPI Number | 1730115346
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Entity Type | Organization
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Legal Business Name | CORAL WAY MRI & DIAGNOSTICS LLLP
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 1757 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33145-2728
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Country | US
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Telephone | 305-460-3114
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Fax | 305-576-0305
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Provider Business Mailing Address
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Address Line | 1757 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33145-2728
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Country | US
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Telephone | 305-460-3114
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. JILL M PRESS
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Credential |
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Telephone | 305-460-3114
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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 | 127
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License Number State | FL
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