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General NPI Number Information
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NPI Number | 1659844793
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Entity Type | Organization
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Legal Business Name | A.D.H ULTRASOUND SERVICES
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 1007 E COOLEY DR # 119
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City | COLTON
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State | CA
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Zip | 92324-3901
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Country | US
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Telephone | 501-590-8553
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Fax |
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Provider Business Mailing Address
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Address Line | 7426 CHERRY AVE STE 210-108
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City | FONTANA
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State | CA
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Zip | 92336-4221
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Country | US
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Telephone | 501-590-8553
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTHONY HOOD
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Credential |
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Telephone | 501-590-8553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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