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General NPI Number Information
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NPI Number | 1639509748
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Entity Type | Organization
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Legal Business Name | UNIQUE ULTRASOUND & IMAGING CORPORATION
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 10005 ROOSEVELT AVE STE 203
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City | CORONA
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State | NY
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Zip | 11368-4880
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Country | US
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Telephone | 718-533-6000
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Fax | 718-533-6001
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Provider Business Mailing Address
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Address Line | 10005 ROOSEVELT AVE STE 203
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City | CORONA
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State | NY
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Zip | 11368-4880
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Country | US
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Telephone | 718-533-6000
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Fax | 718-533-6001
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MISS HELEN SAAVEDRA
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Credential |
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Telephone | 718-533-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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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 | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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