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General NPI Number Information
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NPI Number | 1588680466
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Entity Type | Organization
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Legal Business Name | ORLANDO ULTRASOUND ASSOCIATES INC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 11325 LAKE UNDERHILL RD SUITE 101
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City | ORLANDO
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State | FL
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Zip | 32825
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Country | US
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Telephone | 407-273-7303
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Fax | 407-381-2502
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Provider Business Mailing Address
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Address Line | 11325 LAKE UNDERHILL RD SUITE 101
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City | ORLANDO
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State | FL
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Zip | 32825
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Country | US
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Telephone | 407-273-7303
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Fax | 407-381-2502
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEVIN WAYNE SNIDER
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Credential | RDMS RDCS RVT
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Telephone | 407-273-7303
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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 | HCC4952
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License Number State | FL
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