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General NPI Number Information
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NPI Number | 1750353876
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Entity Type | Organization
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Legal Business Name | PRESBYTERIAN MAGNETIC RESONANCE
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1011 COAL AVE SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-5205
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Country | US
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Telephone | 505-243-5050
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Fax | 505-766-9006
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Provider Business Mailing Address
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Address Line | PO BOX 94567
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City | ALBUQUERQUE
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State | NM
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Zip | 87199-4567
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Country | US
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Telephone | 505-243-5050
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Fax | 505-766-9006
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | ADRIAN BETTS
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Credential |
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Telephone | 505-332-5827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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