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NPI 1760531958

NPI 1760531958 : PROFESSIONAL ULTRASOUND IMAGING, INC. : RICHARDSON, TX

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General NPI Number Information
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    NPI Number           |    1760531958
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    Entity Type          |    Organization 
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    Legal Business Name  |    PROFESSIONAL ULTRASOUND IMAGING, INC. 
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Dates
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    Enumeration Date     |    01/09/2007
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    Last Update Date     |    07/31/2014
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Provider Practice Location Address
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    Address Line         |    3501 TOKEN DR SUITE 200
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75082-9709
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    Country              |    US
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    Telephone            |    817-849-8700
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    Fax                  |    817-849-8701
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Provider Business Mailing Address
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    Address Line         |    3501 TOKEN DR SUITE 200
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75082-9709
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    Country              |    US
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    Telephone            |    817-849-8700
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    Fax                  |    817-849-8701
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |    MR. SAMUEL  WEINBERG 
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    Credential           |    
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    Telephone            |    817-849-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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