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General NPI Number Information
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NPI Number | 1346686615
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Entity Type | Organization
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Legal Business Name | ULTIMATE VIEWS LLC
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 620 N ROCK RD SUITE 350
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City | DERBY
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State | KS
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Zip | 67037-3681
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Country | US
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Telephone | 316-305-9905
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Fax |
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Provider Business Mailing Address
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Address Line | 620 N ROCK RD SUITE 350
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City | DERBY
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State | KS
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Zip | 67037-3681
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Country | US
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Telephone | 316-305-9905
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Fax |
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Authorized Official
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Title or Position | OWNER/SONOGRAPHER
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Name | MRS. TAMARA L DVORAK
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Credential | RT,RDMS,RVT
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Telephone | 316-305-9905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 32138
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License Number State | KS
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