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General NPI Number Information
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NPI Number | 1932700176
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Entity Type | Organization
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Legal Business Name | MRI ASSOCIATES OF CRYSTAL RIVER
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 6136 W GULF TO LAKE HWY
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-7558
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Country | US
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Telephone | 727-809-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 6451 TOUCAN TRL
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City | SPRING HILL
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State | FL
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Zip | 34607-2642
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Country | US
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Telephone | 352-684-2811
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Fax |
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | MRS. MICHELLE CAMPBELL
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Credential |
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Telephone | 727-809-1800
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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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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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