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General NPI Number Information
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NPI Number | 1063479566
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Entity Type | Organization
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Legal Business Name | ULTRASCAN SERVICES
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 6210 WILSHIRE BLVD SUITE #201
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City | LOS ANGELES
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State | CA
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Zip | 90048-5105
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Country | US
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Telephone | 323-954-8131
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Fax | 323-954-8127
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Provider Business Mailing Address
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Address Line | PO BOX 93215
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City | LOS ANGELES
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State | CA
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Zip | 90093-0215
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MR. ARTHUR KHACHATURYAN
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Credential | RDMS, RVT, RDCS
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Telephone | 323-954-8131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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