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General NPI Number Information
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NPI Number | 1346673639
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Entity Type | Organization
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Legal Business Name | US DIAGNOSTIC ULTRASOUND CORPORATION
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Dates
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Enumeration Date | 08/09/2013
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 208 WILSON RD
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-1451
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Country | US
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Telephone | 215-820-9758
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Fax |
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Provider Business Mailing Address
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Address Line | 208 WILSON RD
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-1451
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Country | US
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Telephone | 215-820-9758
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PETRAQ XOXE
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Credential |
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Telephone | 215-820-9758
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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 | 1804122
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License Number State | NJ
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