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General NPI Number Information
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NPI Number | 1376880906
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Entity Type | Organization
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Legal Business Name | ULSTER MEDICAL IMAGING
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Dates
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Enumeration Date | 01/16/2013
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 550 ROUTE 299
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City | HIGHLAND
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State | NY
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Zip | 12528-2875
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Country | US
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Telephone | 845-430-8559
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Fax |
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Provider Business Mailing Address
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Address Line | 550 ROUTE 299
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City | HIGHLAND
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State | NY
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Zip | 12528-2875
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO CEO, COO, ECHOCARDIOGRAPHER
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Name | MR. ROBERT EMIL MALARCZYK
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Credential | ECHOCARDIOGRAPHER
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Telephone | 845-430-8559
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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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