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General NPI Number Information
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NPI Number | 1366605065
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Entity Type | Organization
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Legal Business Name | SPECIALISTS IN ULTRASOUND, INC.
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 89 S WILLIAMS ST
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City | BURLINGTON
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State | VT
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Zip | 05401-3405
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Country | US
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Telephone | 802-655-0058
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64824
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City | BURLINGTON
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State | VT
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Zip | 05406-4824
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Country | US
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Telephone | 802-238-6512
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Fax | 802-951-2592
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVEN JAMES KNIGHT
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Credential | BSC, RVT, RDCS
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Telephone | 802-238-6512
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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 |
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License Number State |
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