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General NPI Number Information
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NPI Number | 1801015516
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Entity Type | Organization
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Legal Business Name | HORIZON OPEN MRI - COLUMBUS EAST
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6465 E BROAD ST STE 210
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City | COLUMBUS
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State | OH
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Zip | 43213-1576
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Country | US
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Telephone | 614-860-0930
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Fax |
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Provider Business Mailing Address
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Address Line | 6465 E BROAD ST STE 210
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City | COLUMBUS
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State | OH
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Zip | 43213-1576
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Country | US
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Telephone | 614-860-0930
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DENY RADEFELD
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Credential |
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Telephone | 941-493-4008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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