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General NPI Number Information
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NPI Number | 1770092264
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Entity Type | Organization
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Legal Business Name | ULTRASOUND FOR ALL LLC
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 19 HAMILTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-1219
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Country | US
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Telephone | 201-725-3154
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Fax |
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Provider Business Mailing Address
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Address Line | 19 HAMILTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-1219
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Country | US
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Telephone | 201-725-3154
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. EVA BROADFOOT
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Credential | MD
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Telephone | 201-725-3154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number | 152597
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License Number State | NJ
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