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General NPI Number Information
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NPI Number | 1063685766
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Entity Type | Organization
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Legal Business Name | SONOTECH IMAGING, INC
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 6250 WESTPARK DR SUITE # 310
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City | HOUSTON
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State | TX
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Zip | 77057-7322
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Country | US
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Telephone | 323-821-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 6250 WESTPARK DR SUITE # 310
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City | HOUSTON
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State | TX
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Zip | 77057-7322
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Country | US
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Telephone | 323-821-7772
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. VADIM DANIELIAN
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Credential |
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Telephone | 323-821-7772
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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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