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General NPI Number Information
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NPI Number | 1124983531
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Entity Type | Organization
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Legal Business Name | EKOCARDIA
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 50 W BROADWAY STE 325
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City | SALT LAKE CTY
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State | UT
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Zip | 84101-2020
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Country | US
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Telephone | 801-203-3302
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Fax |
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Provider Business Mailing Address
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Address Line | 50 W BROADWAY STE 325
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City | SALT LAKE CITY
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State | UT
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Zip | 84101-2020
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Country | US
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Telephone | 801-203-3302
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. M MARK IBRAHIM
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Credential | MD, FACC
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Telephone | 801-203-3302
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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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