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General NPI Number Information
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NPI Number | 1417014952
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Entity Type | Organization
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Legal Business Name | MOUNTAIN ULTRASOUND IMAGING, INC.
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 1 VANDERBILT PARK DRIVE 240
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City | ASHEVILLE
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State | NC
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Zip | 28803-1736
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Country | US
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Telephone | 828-274-4567
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Fax | 828-277-5600
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Provider Business Mailing Address
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Address Line | 1 VANDERBILT PARK DRIVE 240
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City | ASHEVILLE
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State | NC
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Zip | 28803-1736
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Country | US
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Telephone | 828-274-4567
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Fax | 828-277-5600
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Authorized Official
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Title or Position | CO-OWNER/SECT/TREAS.
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Name | MRS. JESSICA C. HENSLEY
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Credential | RT(R), RDMS, RVT
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Telephone | 828-274-4567
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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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