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General NPI Number Information
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NPI Number | 1801867890
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Entity Type | Organization
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Legal Business Name | OPEN MRI ON 280, LLC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 1 INDEPENDENCE PLZ STE 140
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City | HOMEWOOD
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State | AL
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Zip | 35209-2629
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Country | US
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Telephone | 205-870-1979
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Fax | 205-870-1929
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Provider Business Mailing Address
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Address Line | PO BOX 932602
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City | ATLANTA
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State | GA
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Zip | 31193-2602
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Country | US
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Telephone | 205-870-1979
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Fax | 205-870-1929
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | TRACI BROWN
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Credential |
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Telephone | 706-256-3450
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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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