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General NPI Number Information
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NPI Number | 1922147586
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Entity Type | Organization
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Legal Business Name | ENVISION OPEN MRI LLC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1414 AVENUE J
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-1167
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Country | US
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Telephone | 712-325-8415
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Fax |
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Provider Business Mailing Address
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Address Line | 301 N 44TH ST SUITE 102
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City | LINCOLN
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State | NE
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Zip | 68503-3707
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Country | US
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Telephone | 402-467-5335
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | INGRID E FRANZE
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Credential | M.D.
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Telephone | 712-325-8415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number | 18456
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License Number State | NE
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