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General NPI Number Information
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NPI Number | 1750070660
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Entity Type | Organization
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Legal Business Name | MILLENNIUM MRI INC
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 2019 E SILVER SPRINGS BLVD STE 301
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City | OCALA
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State | FL
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Zip | 34470-8224
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Country | US
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Telephone | 352-900-5501
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Fax | 352-900-5502
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Provider Business Mailing Address
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Address Line | 2900 E BAY DR
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City | LARGO
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State | FL
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Zip | 33771-2637
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Country | US
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Telephone | 810-623-3211
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIROSLAV JAKSIC
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Credential |
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Telephone | 810-623-3211
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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 |
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License Number State |
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