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General NPI Number Information
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NPI Number | 1356490411
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Entity Type | Organization
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Legal Business Name | ULTRASOUND UNLIMITED INC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 14 OFFICE PARK DR STE7
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City | PALM COAST
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State | FL
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Zip | 32137-3864
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Country | US
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Telephone | 386-446-4195
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Fax | 386-446-4197
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Provider Business Mailing Address
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Address Line | PO BOX 351639
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City | PALM COAST
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State | FL
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Zip | 32135-1639
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Country | US
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Telephone | 386-446-4195
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Fax | 386-446-4197
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES A JONES JR.
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Credential |
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Telephone | 386-446-4195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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