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General NPI Number Information
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NPI Number | 1427495415
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Entity Type | Organization
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Legal Business Name | UNIVERSAL DIAGNOSTIC SERVICES INC
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 7901 CAMERON RD BLDG 2 SUITE 144
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City | AUSTIN
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State | TX
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Zip | 78754
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Country | US
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Telephone | 512-516-7189
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 CAMERON RD BLDG 2 SUITE 144
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City | AUSTIN
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State | TX
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Zip | 78754
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Country | US
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Telephone | 512-516-7189
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANASTASIA ARAKANTSEVA
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Credential | 5125167189
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Telephone | 512-516-7189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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