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General NPI Number Information
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NPI Number | 1912219098
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Entity Type | Organization
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Legal Business Name | PALMETTO OPEN MRI INC
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 3146 CORAL WAY SUITE # 100
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City | MIAMI
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State | FL
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Zip | 33145-3210
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Country | US
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Telephone | 305-448-6841
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Fax | 305-448-6842
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Provider Business Mailing Address
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Address Line | 3146 CORAL WAY SUITE # 100
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City | MIAMI
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State | FL
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Zip | 33145-3210
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Country | US
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Telephone | 305-448-6841
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Fax | 305-448-6842
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEJANDRO E XIQUES
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Credential |
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Telephone | 305-448-6841
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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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