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General NPI Number Information
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NPI Number | 1871584771
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Entity Type | Organization
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Legal Business Name | PALMS WEST MRI, LLC
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 701 S MAIN ST
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City | BELLE GLADE
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State | FL
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Zip | 33430-4201
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Country | US
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Telephone | 561-996-2000
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Fax | 561-996-2008
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Provider Business Mailing Address
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Address Line | PO BOX 212738
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33421-2738
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Country | US
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Telephone | 561-766-1300
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Fax | 561-318-7163
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Authorized Official
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Title or Position | OWNER
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Name | ARTHUR HANSEN
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Credential |
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Telephone | 561-766-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | HCC8896
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License Number State | FL
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