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General NPI Number Information
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NPI Number | 1174921456
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Entity Type | Organization
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Legal Business Name | UNIVERSAL IMAGING COMPANY INC
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2407 EAST 23RD STREET SUITE B
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 718-648-2400
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Fax | 718-648-3100
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Provider Business Mailing Address
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Address Line | 2407 EAST 23RD STREET SUITE B
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 718-648-2400
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Fax | 718-648-3100
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Authorized Official
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Title or Position | DIRECTOR
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Name | IRINA FEDOROVA
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Credential |
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Telephone | 718-513-1477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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