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NPI 1720032949

NPI 1720032949 : ULTRAFLOW SYSTEMS, LLC : SEAFORD, DE

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General NPI Number Information
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    NPI Number           |    1720032949
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    Entity Type          |    Organization 
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    Legal Business Name  |    ULTRAFLOW SYSTEMS, LLC 
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Dates
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    Enumeration Date     |    05/20/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    8866 RIVERSIDE DR 
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    City                 |    SEAFORD
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    State                |    DE
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    Zip                  |    19973-3655
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    Country              |    US
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    Telephone            |    302-629-2733
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    Fax                  |    302-629-9639
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Provider Business Mailing Address
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    Address Line         |    8866 RIVERSIDE DR 
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    City                 |    SEAFORD
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    State                |    DE
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    Zip                  |    19973-3655
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    Country              |    US
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    Telephone            |    302-629-2733
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    Fax                  |    302-629-9639
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Authorized Official
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    Title or Position    |    GENERAL MANAGER
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    Name                 |    MS. ARLENE KAY PATRICK 
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    Credential           |    CMS,CVT
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    Telephone            |    302-629-2733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    2006201984
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    License Number State |    DE
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