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General NPI Number Information
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NPI Number | 1710982384
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Entity Type | Organization
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Legal Business Name | ULTRASOUND DIAGNOSTIC SERVICES, INC
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 7998 W. THUNDERBIRD RD. SUITE 108
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City | PEORIA
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State | AZ
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Zip | 85381-4904
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Country | US
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Telephone | 623-878-5650
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Fax | 623-878-5670
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Provider Business Mailing Address
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Address Line | 7998 W. THUNDERBIRD RD. SUITE 108
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City | PEORIA
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State | AZ
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Zip | 85381-4904
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Country | US
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Telephone | 623-878-5650
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Fax | 623-878-5670
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER TURNER
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Credential |
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Telephone | 214-242-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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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 | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | OTC 3451
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License Number State | AZ
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