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General NPI Number Information
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NPI Number | 1194838722
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Entity Type | Organization
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Legal Business Name | 2D DIAGNOSTIC, INC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 329 ALEXIS LUCIA RD
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City | ALEXIS
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State | NC
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Zip | 28006-9795
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Country | US
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Telephone | 704-263-9005
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Fax | 775-228-7857
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Provider Business Mailing Address
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Address Line | 103 JERICHO TPKE
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City | FLORAL PARK
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State | NY
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Zip | 11001-2023
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Country | US
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Telephone | 877-354-2455
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Fax | 866-328-8732
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | ADRIANA A POPA
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Credential |
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Telephone | 877-354-2455
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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 | 200001295
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License Number State | NC
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