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General NPI Number Information
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NPI Number | 1407958366
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Entity Type | Organization
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Legal Business Name | HEALTH SONODIAGNOSTICS INC.
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3901 HOUMA BLVD SUITE 107
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City | METAIRIE
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State | LA
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Zip | 70006-2930
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Country | US
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Telephone | 323-467-1686
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 HOUMA BLVD SUITE 107
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City | METAIRIE
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State | LA
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Zip | 70006-2930
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Country | US
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Telephone | 323-467-1686
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KOSTAN GASPARYAN
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Credential |
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Telephone | 323-467-1686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | 446350
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License Number State | LA
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