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General NPI Number Information
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NPI Number | 1730375916
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Entity Type | Organization
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Legal Business Name | BOCA RATON OPEN MRI,LLC
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 200 GLADES RD SUITE #3
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City | BOCA RATON
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State | FL
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Zip | 33432-1420
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Country | US
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Telephone | 561-447-2131
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Fax | 561-447-2119
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Provider Business Mailing Address
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Address Line | 200 GLADES RD SUITE #3
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City | BOCA RATON
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State | FL
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Zip | 33432-1420
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Country | US
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Telephone | 561-447-2131
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Fax | 561-447-2119
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. RAYMOND P SOBIERALSKI
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Credential |
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Telephone | 412-226-0101
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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 | HCC7130
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License Number State | FL
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