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General NPI Number Information
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NPI Number | 1497269369
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Entity Type | Organization
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Legal Business Name | MD ULTRASOUND, INC.
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 356 E OLIVE AVE STE 102
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City | BURBANK
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State | CA
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Zip | 91502-1228
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Country | US
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Telephone | 747-229-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 356 E OLIVE AVE STE 102
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City | BURBANK
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State | CA
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Zip | 91502-1228
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Country | US
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Telephone | 747-229-9000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARMAN ANTANYAN
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Credential | RVT
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Telephone | 323-770-3880
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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 | 192064
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License Number State | CA
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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 | 199625
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number | 145997
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 145997
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License Number State | CA
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