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General NPI Number Information
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NPI Number | 1720172273
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Entity Type | Organization
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Legal Business Name | DOLPHIN ULTRASOUND LLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1679 INDIAN ROCKS RD
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City | LARGO
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State | FL
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Zip | 33774-1026
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Country | US
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Telephone | 727-585-4501
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Fax | 727-585-4506
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Provider Business Mailing Address
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Address Line | 1679 INDIAN ROCKS RD
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City | LARGO
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State | FL
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Zip | 33774-1026
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Country | US
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Telephone | 727-585-4501
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Fax | 727-585-4506
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SANDRA LEE SHAFFER
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Credential | RDMS RDCS RVT
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Telephone | 727-585-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | HCC6441
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License Number State | FL
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