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General NPI Number Information
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NPI Number | 1538147269
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Entity Type | Organization
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Legal Business Name | MG NEUROVASCULAR ULTRASOUND SERV
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3383 NW 7TH ST SUITE 107/108
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City | MIAMI
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State | FL
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Zip | 33125-4140
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Country | US
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Telephone | 305-644-1795
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Fax |
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Provider Business Mailing Address
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Address Line | 3383 NW 7TH ST SUITE 107/108
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City | MIAMI
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State | FL
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Zip | 33125-4140
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Country | US
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Telephone | 305-644-1795
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS MARLIN DANILA MEJIA
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Credential |
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Telephone | 305-644-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | FL
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