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General NPI Number Information
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NPI Number | 1356626675
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Entity Type | Organization
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Legal Business Name | ULTRASOUND IMAGING SERVICES
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 1562 EL PASO DR
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City | NORCO
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State | CA
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Zip | 92860-3891
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Country | US
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Telephone | 909-841-7241
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Fax | 951-734-5136
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Provider Business Mailing Address
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Address Line | 1562 EL PASO DR
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City | NORCO
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State | CA
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Zip | 92860-3891
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Country | US
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Telephone | 909-841-7241
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Fax | 951-734-5136
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JUDY LYNN DAWSON
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Credential | RDMS
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Telephone | 909-841-7241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State | CA
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