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General NPI Number Information
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NPI Number | 1063986289
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Entity Type | Organization
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Legal Business Name | PICTURE PERFECT ,LLC
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 4332 CENTRAL AVE STE M
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City | HOT SPRINGS
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State | AR
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Zip | 71913-7255
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Country | US
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Telephone | 501-463-9063
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Fax |
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Provider Business Mailing Address
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Address Line | 4332 CENTRAL AVE STE M
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City | HOT SPRINGS
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State | AR
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Zip | 71913-7255
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Country | US
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Telephone | 501-463-9063
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | BUDIMIR RATKOVIC
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Credential |
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Telephone | 501-463-9063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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