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General NPI Number Information
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NPI Number | 1528365756
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Entity Type | Organization
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Legal Business Name | KOLD STEEL, INC
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 1161 CARDINAL CREEK PL
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City | OVIEDO
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State | FL
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Zip | 32765-8468
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Country | US
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Telephone | 321-217-7865
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Fax |
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Provider Business Mailing Address
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Address Line | 1161 CARDINAL CREEK PL
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City | OVIEDO
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State | FL
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Zip | 32765-8468
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Country | US
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Telephone | 321-217-7865
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MRS. LINA MARIA RIVERA
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Credential | RCS, RVT
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Telephone | 321-217-7865
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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 | ARDMS # 28630
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License Number State |
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