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General NPI Number Information
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NPI Number | 1427774017
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Entity Type | Organization
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Legal Business Name | ULTRA IMAGING INC.
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 9693 W. CHATFIELD AVE UNIT B
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City | LITTLETON
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State | CO
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Zip | 80128
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Country | US
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Telephone | 303-794-5844
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Fax | 303-794-5843
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Provider Business Mailing Address
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Address Line | 605 RISING STAR ROAD
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City | BROOKS
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State | GA
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Zip | 30205
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Country | US
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Telephone | 303-794-5844
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Fax | 303-794-5843
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Authorized Official
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Title or Position | OWNER
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Name | MS. VALERIE JO VOORHEES
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Credential | RN
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Telephone | 303-794-5844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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