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General NPI Number Information
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NPI Number | 1770600876
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Entity Type | Organization
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Legal Business Name | ULTRAMOBILE IMAGING INC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 1465 JEFFERSON RD
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City | ROCHESTER
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State | NY
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Zip | 14623-3149
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Country | US
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Telephone | 585-424-6270
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Fax | 585-424-6274
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Provider Business Mailing Address
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Address Line | 1465 JEFFERSON RD
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City | ROCHESTER
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State | NY
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Zip | 14623-3149
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Country | US
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Telephone | 585-424-6270
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Fax | 585-424-6274
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM IRWIN
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Credential |
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Telephone | 585-424-6270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 27021011
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License Number State | NY
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