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General NPI Number Information
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NPI Number | 1780634550
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Entity Type | Organization
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Legal Business Name | SONIC IMAGING
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 6230 MCLEOD DRIVE STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89120-4049
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Country | US
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Telephone | 702-736-2999
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Fax | 702-736-2199
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Provider Business Mailing Address
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Address Line | 6230 MCLEOD DRIVE STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89120-4049
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Country | US
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Telephone | 702-736-2999
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Fax | 702-736-2199
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN P DUBIN
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Credential |
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Telephone | 702-736-2999
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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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