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General NPI Number Information
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NPI Number | 1417346461
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Entity Type | Organization
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Legal Business Name | AFFORDABLE ULTRASOUND LLC
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 9301 SOUTHWEST FWY STE 150
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City | HOUSTON
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State | TX
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Zip | 77074-1510
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Country | US
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Telephone | 713-542-5989
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Fax |
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Provider Business Mailing Address
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Address Line | 9301 SOUTHWEST FWY STE 150
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City | HOUSTON
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State | TX
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Zip | 77074-1510
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Country | US
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Telephone | 713-542-5989
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KATRINA EVANS
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Credential | RDMS
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Telephone | 713-542-5989
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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 | 100185
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License Number State | TX
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