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General NPI Number Information
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NPI Number | 1154378024
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Entity Type | Organization
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Legal Business Name | ULTRASOUND TECHNICAL SPECIALISTS INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 23 PINE ST UNIT L
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City | CANTON
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State | MA
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Zip | 02021-3347
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Country | US
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Telephone | 617-791-1809
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Fax |
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Provider Business Mailing Address
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Address Line | 23 PINE ST UNIT L
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City | CANTON
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State | MA
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Zip | 02021-3347
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Country | US
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Telephone | 617-791-1809
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH M REDDISH
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Credential | RDMS
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Telephone | 617-791-1809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | 4485
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License Number State | MA
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