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General NPI Number Information
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NPI Number | 1861581654
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Entity Type | Organization
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Legal Business Name | MAGNETIC RESONANCE IMAGING OF HUNTINGTON, P.C.
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 214 WALL ST
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City | HUNTINGTON
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State | NY
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Zip | 11743-2064
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Country | US
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Telephone | 631-666-5620
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Fax | 631-666-4668
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Provider Business Mailing Address
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Address Line | 214 WALL ST
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City | HUNTINGTON
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State | NY
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Zip | 11743-2064
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Country | US
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Telephone | 631-666-5620
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Fax | 631-666-4668
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | PATRICIA L BROWN
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Credential |
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Telephone | 631-666-5620
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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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