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General NPI Number Information
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NPI Number | 1285940726
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Entity Type | Organization
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Legal Business Name | ADVANCED ULTRASOUND MOBILE IMAGING
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Dates
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Enumeration Date | 08/22/2010
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 765 MAIN AVE
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City | WARWICK
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State | RI
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Zip | 02886-3213
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Country | US
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Telephone | 401-737-2229
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Fax | 888-958-2393
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Provider Business Mailing Address
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Address Line | 765 MAIN AVE
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City | WARWICK
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State | RI
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Zip | 02886-3213
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Country | US
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Telephone | 401-737-2229
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Fax | 888-958-2393
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Authorized Official
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Title or Position | PRESIDENT / ULTRASONOGRAPHER
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Name | MRS. LYNN A BUTLER
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Credential | ARDMS
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Telephone | 401-737-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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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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