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General NPI Number Information
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NPI Number | 1720884414
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Entity Type | Organization
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Legal Business Name | VELOCITY DIAGNOSTIC IMAGING
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 1237 MONTAUK HWY
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City | OAKDALE
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State | NY
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Zip | 11769-1434
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Country | US
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Telephone | 631-517-0877
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Fax |
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Provider Business Mailing Address
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Address Line | 1237 MONTAUK HWY
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City | OAKDALE
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State | NY
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Zip | 11769-1434
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Country | US
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Telephone | 631-517-0877
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAUL INFANTOLINO
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Credential |
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Telephone | 631-517-0877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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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 | 246W00000X
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Taxonomy Name | Cardiology Technician
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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 |
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License Number State |
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