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General NPI Number Information
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NPI Number | 1285020438
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Entity Type | Organization
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Legal Business Name | ULTRASOUND ON-SITE, LLC
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 6201 GREENBELT RD STE M10
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City | BERWYN HEIGHTS
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State | MD
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Zip | 20740-2358
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Country | US
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Telephone | 301-523-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENBELT RD STE M10
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City | BERWYN HEIGHTS
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State | MD
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Zip | 20740-2358
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Country | US
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Telephone | 301-523-1500
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Fax |
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Authorized Official
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Title or Position | ULTRASOUND SONOGRAPHER
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Name | MS. CHINYERE ELEONU
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Credential | AA ULTRASOUND
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Telephone | 301-523-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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