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General NPI Number Information
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NPI Number | 1225137078
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN ULTRASOUND INC.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 122 W CASTELLANO DR
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City | EL PASO
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State | TX
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Zip | 79912-6170
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Country | US
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Telephone | 915-577-0100
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Fax | 915-400-0427
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Provider Business Mailing Address
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Address Line | 122 W CASTELLANO DR
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City | EL PASO
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State | TX
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Zip | 79912-6170
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Country | US
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Telephone | 915-577-0100
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Fax | 915-400-0427
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. RAUL ARIZPE
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Credential |
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Telephone | 915-577-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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