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General NPI Number Information
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NPI Number | 1235167883
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC ULTRASOUND CENTER
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5200 SW 8TH ST SUITE 201B
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City | CORAL GABLES
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State | FL
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Zip | 33134-2300
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Country | US
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Telephone | 305-448-5580
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Fax | 305-447-8725
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Provider Business Mailing Address
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Address Line | 5200 SW 8TH ST SUITE 201B
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City | CORAL GABLES
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State | FL
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Zip | 33134-2300
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Country | US
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Telephone | 305-448-5580
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Fax | 305-447-8725
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARACELYS LOPEZ
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Credential |
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Telephone | 13054485580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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