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General NPI Number Information
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NPI Number | 1376300731
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Entity Type | Organization
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Legal Business Name | SOUND IMAGING, LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 35670 KENAI SPUR HWY STE 103A
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City | SOLDOTNA
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State | AK
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Zip | 99669-7649
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Country | US
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Telephone | 907-350-6281
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 E 27TH AVE
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City | ANCHORAGE
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State | AK
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Zip | 99508-4017
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Country | US
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Telephone | 907-350-6281
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | YVONNE MARIE MASON
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Credential |
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Telephone | 907-350-6479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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