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General NPI Number Information
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NPI Number | 1215108253
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Entity Type | Organization
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Legal Business Name | ALTRASOUND SERVICES INC
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 12 MARTIN ST. 2ND FLOOR
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City | WELLSVILLE
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State | NY
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Zip | 14895
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Country | US
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Telephone | 585-593-6069
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Fax |
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Provider Business Mailing Address
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Address Line | 12 MARTIN ST. 2ND FLOOR
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City | WELLSVILLE
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State | NY
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Zip | 14895
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Country | US
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Telephone | 585-593-6069
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER UPDYKE
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Credential |
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Telephone | 585-593-6069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | 14432
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License Number State | NY
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