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General NPI Number Information
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NPI Number | 1255386645
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Entity Type | Organization
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Legal Business Name | DFW ULTRASOUND ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3805 CROWN CT
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City | BEDFORD
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State | TX
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Zip | 76021-6158
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Country | US
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Telephone | 817-808-8263
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Fax | 972-934-0633
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Provider Business Mailing Address
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Address Line | PO BOX 612245
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City | DALLAS
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State | TX
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Zip | 75261-2245
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Country | US
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Telephone | 817-808-8263
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Fax | 972-934-0633
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FERNAN JOSE HERNANDEZ
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Credential |
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Telephone | 817-808-8263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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