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General NPI Number Information
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NPI Number | 1790184802
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Entity Type | Organization
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Legal Business Name | ALLIANCE MEDICAL IMAGING LLC
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 3550 PARKWOOD BLVD STE C-302
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City | FRISCO
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State | TX
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Zip | 75034-1903
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Country | US
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Telephone | 817-430-5885
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 FULLER DR STE 275
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City | IRVING
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State | TX
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Zip | 75038-6551
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUSTIN MAGNUSON
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Credential |
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Telephone | 817-430-5885
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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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