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General NPI Number Information
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NPI Number | 1811151517
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Entity Type | Organization
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Legal Business Name | MEDICAL SONOGRAPHY SERVICES INC
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 1612-2 SOUTH BRODAWAY STREET SUITE#200
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City | CARROLLTON
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State | TX
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Zip | 75006-8915
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Country | US
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Telephone | 214-483-5147
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Fax | 214-432-0627
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Provider Business Mailing Address
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Address Line | 316 WILLOW SPRINGS DR
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City | COPPELL
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State | TX
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Zip | 75019-3357
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Country | US
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Telephone | 214-483-5147
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Fax | 214-432-0627
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Authorized Official
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Title or Position | CEO
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Name | MR. VICTOR PATRICK RINCON
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Credential | RDMS, RDCS
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Telephone | 214-483-5147
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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 | TX
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