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General NPI Number Information
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NPI Number | 1215194097
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Entity Type | Organization
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Legal Business Name | FLUSHING ULTRASOUND SERVICES INC.
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 1408 BROOKLYN BLVD
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City | BAY SHORE
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State | NY
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Zip | 11706-4013
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Country | US
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Telephone | 631-206-2012
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Fax | 631-206-2030
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Provider Business Mailing Address
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Address Line | 1408 BROOKLYN BLVD
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City | BAY SHORE
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State | NY
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Zip | 11706-4013
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Country | US
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Telephone | 631-206-2012
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Fax | 631-206-2030
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MOLLY POSE
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Credential | BS,RT,RDMS
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Telephone | 631-206-2012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 564042
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License Number State | NY
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