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General NPI Number Information
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NPI Number | 1912935099
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Entity Type | Organization
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Legal Business Name | MRI IMAGING CENTER OF FRESNO, INC
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 108 W SHAW AVE
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City | FRESNO
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State | CA
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Zip | 93704-2817
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Country | US
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Telephone | 559-226-2888
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Fax | 559-266-2887
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Provider Business Mailing Address
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Address Line | 108 W SHAW AVE
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City | FRESNO
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State | CA
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Zip | 93704-2817
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Country | US
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Telephone | 559-226-2888
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Fax | 559-266-2887
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. EDWARD M FRENCH
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Credential |
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Telephone | 559-226-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | 9839082
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License Number State | CA
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