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General NPI Number Information
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NPI Number | 1437615051
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Entity Type | Organization
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Legal Business Name | MY ULTRASOUND HEALTH CENTER, INC.
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 12598 CENTRAL AVE STE 107
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City | CHINO
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State | CA
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Zip | 91710-3500
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Country | US
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Telephone | 909-590-9091
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Fax | 909-509-5915
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Provider Business Mailing Address
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Address Line | 12598 CENTRAL AVE STE 107
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City | CHINO
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State | CA
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Zip | 91710-3500
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Country | US
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Telephone | 909-590-9091
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Fax | 909-509-5915
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Authorized Official
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Title or Position | CEO
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Name | DONALD CABRERA
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Credential | CEO
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Telephone | 909-590-9091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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