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General NPI Number Information
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NPI Number | 1437572641
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Entity Type | Organization
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Legal Business Name | T&T ULTRASOUND IMAGING SERVICES
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 15022 NEECE ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-5451
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Country | US
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Telephone | 714-797-8040
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Fax | 714-839-9175
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Provider Business Mailing Address
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Address Line | 15022 NEECE ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-5451
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Country | US
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Telephone | 714-797-8040
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Fax | 714-839-9175
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Authorized Official
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Title or Position | PRINCIPAL
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Name | LOC NGUYEN
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Credential | RDMS, RVT
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Telephone | 714-797-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number | 121896
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | 121896
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License Number State | MD
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