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NPI 1740187640

NPI 1740187640 : SONO757 DIAGNOSTIC ULTRASOUND LLC : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1740187640
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    Entity Type          |    Organization 
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    Legal Business Name  |    SONO757 DIAGNOSTIC ULTRASOUND LLC 
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Dates
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    Enumeration Date     |    10/22/2026
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    Last Update Date     |    11/04/2026
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Provider Practice Location Address
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    Address Line         |    525 S INDEPENDENCE BLVD STE 125 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23452-1444
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    Country              |    US
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    Telephone            |    757-817-0635
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    Fax                  |    888-920-5872
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Provider Business Mailing Address
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    Address Line         |    525 S INDEPENDENCE BLVD STE 125 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23452-1444
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    Country              |    US
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    Telephone            |    757-817-0635
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    Fax                  |    888-920-5872
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JENNIFER  CLIFTON 
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    Credential           |    RDMS, RVT, CPT(AAH)
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    Telephone            |    757-817-0635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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