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General NPI Number Information
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NPI Number | 1225941362
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Entity Type | Organization
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Legal Business Name | SONOBLOOM LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2380 N 400 E STE D
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City | LOGAN
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State | UT
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Zip | 84341-1756
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Country | US
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Telephone | 435-938-3024
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Fax | 435-241-7345
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Provider Business Mailing Address
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Address Line | 664 S LAKESIDE DR
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City | FRANKLIN
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State | ID
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Zip | 83237-5302
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Country | US
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Telephone | 909-276-0484
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Fax | 435-241-7345
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Authorized Official
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Title or Position | OWNER/SONOGRAPHER
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Name | LENNA MARIE PINEDO
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Credential | RDMS, RDCS
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Telephone | 909-276-0484
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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 | NULL
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