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General NPI Number Information
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NPI Number | 1710051487
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Entity Type | Organization
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Legal Business Name | ULTRASOUND IMAGING SPECIALISTS, INC.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 1860 COUNTY ROAD 193
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City | CLEARWATER
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State | FL
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Zip | 33759-1801
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Country | US
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Telephone | 727-461-0613
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Fax | 727-461-0713
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Provider Business Mailing Address
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Address Line | PO BOX 14307
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City | CLEARWATER
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State | FL
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Zip | 33766-4307
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Country | US
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Telephone | 727-461-0613
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Fax | 727-461-0713
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | CAROL J. GRIFFIN
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Credential |
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Telephone | 727-461-0613
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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 | HCC6316
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License Number State | FL
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