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General NPI Number Information
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NPI Number | 1912940651
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Entity Type | Organization
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Legal Business Name | LEBANON MRI ASSOCIATES, LTD
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4TH AND WALNUT STREETS
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City | LEBANON
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State | PA
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Zip | 17042
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Country | US
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Telephone | 717-270-4580
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Fax | 717-270-4584
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Provider Business Mailing Address
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Address Line | PO BOX 1336
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City | LEBANON
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State | PA
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Zip | 17042-1336
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Country | US
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Telephone | 717-270-4580
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Fax | 717-270-4584
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Authorized Official
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Title or Position | TREASURER
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Name | MR. ROBERT J RICHARDS
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Credential |
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Telephone | 717-270-7806
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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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