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NPI 1770276941

NPI 1770276941 : SONO SYNDICATE INC : TARZANA, CA

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General NPI Number Information
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    NPI Number           |    1770276941
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    Entity Type          |    Organization 
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    Legal Business Name  |    SONO SYNDICATE INC 
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Dates
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    Enumeration Date     |    06/01/2023
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    Last Update Date     |    07/14/2023
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Provider Practice Location Address
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    Address Line         |    18370 BURBANK BLVD UNIT 401
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    City                 |    TARZANA
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    State                |    CA
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    Zip                  |    91356
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    Country              |    US
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    Telephone            |    818-399-8211
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4924 BALBOA BLVD STE 156 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91316-3402
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SEPIDEH  GERAMFARD 
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    Credential           |    
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    Telephone            |    818-399-8211
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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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