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General NPI Number Information
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NPI Number | 1063280865
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Entity Type | Organization
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Legal Business Name | ISLAND COUNTY ULTRASOUND
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 902 NE CENTER ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-3466
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Country | US
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Telephone | 206-866-8405
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Fax |
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Provider Business Mailing Address
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Address Line | 902 NE CENTER ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-3466
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Country | US
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Telephone | 206-866-8405
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | KULVINDER KAUR
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Credential | RDMS, RVT
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Telephone | 360-720-4463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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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 | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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