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General NPI Number Information
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NPI Number | 1487812129
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Entity Type | Organization
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Legal Business Name | POMONA SONO MEDICAL, PLLC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 26 FIREMANS MEML DR SUITE 120
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City | POMONA
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State | NY
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Zip | 10970-3553
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Country | US
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Telephone | 845-362-6900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 234894
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City | GREAT NECK
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State | NY
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Zip | 11023-4894
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Country | US
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Telephone | 516-414-6900
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Fax | 516-393-6130
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL TERRANI
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Credential | MD
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Telephone | 516-414-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 197817
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License Number State | NY
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