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General NPI Number Information
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NPI Number | 1417841016
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Entity Type | Organization
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Legal Business Name | TOP ULTRASOUND IMAGE, CORP
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 300 LA JOYA PASS
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City | LEANDER
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State | TX
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Zip | 78641-5176
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Country | US
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Telephone | 818-271-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 300 LA JOYA PASS
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City | LEANDER
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State | TX
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Zip | 78641-5176
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Country | US
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Telephone | 818-271-0028
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS ANGELICA VENTURENO
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Credential | RDMS
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Telephone | 818-271-0028
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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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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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