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General NPI Number Information
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NPI Number | 1346678497
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Entity Type | Organization
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Legal Business Name | MAGNIFIQUE ULTRASOUND LLC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 1 WYCHAM PL
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City | GREAT NECK
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State | NY
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Zip | 11021-2518
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Country | US
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Telephone | 516-487-3519
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Fax | 516-487-3811
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Provider Business Mailing Address
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Address Line | 1 WYCHAM PL
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City | GREAT NECK
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State | NY
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Zip | 11021-2518
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Country | US
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Telephone | 516-487-3519
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Fax | 516-487-3811
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. AFSHIN SABZEHROO
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Credential |
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Telephone | 516-487-3519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 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 #3
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #6
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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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