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General NPI Number Information
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NPI Number | 1497126569
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Entity Type | Organization
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Legal Business Name | G & G GENERAL ULTRASOUND INC
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 20145 SW 284TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-7576
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Country | US
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Telephone | 305-496-1229
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Fax | 786-610-0467
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Provider Business Mailing Address
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Address Line | 20145 SW 284TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-7576
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Country | US
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Telephone | 305-496-1229
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Fax | 786-610-0467
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Authorized Official
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Title or Position | PRESIDENT
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Name | GRETHER PIEDRA
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Credential |
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Telephone | 305-496-1229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 152632
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License Number State | FL
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