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General NPI Number Information
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NPI Number | 1316860869
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Entity Type | Organization
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Legal Business Name | SUPERIOR IMAGING, LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 6093 SEA ISLE
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City | GALVESTON
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State | TX
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Zip | 77554-9627
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Country | US
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Telephone | 409-599-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 6093 SEA ISLE
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City | GALVESTON
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State | TX
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Zip | 77554-9627
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Country | US
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Telephone | 409-599-4919
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Fax |
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Authorized Official
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Title or Position | OWNER/VASCULAR TECHNOLOGIST
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Name | BRIDGET ANDERSEN
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Credential | RVS
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Telephone | 409-599-4919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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