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General NPI Number Information
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NPI Number | 1811460801
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Entity Type | Organization
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Legal Business Name | BAY ULTRASOUND, LLC
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 3155 KEARNEY ST # 109
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City | FREMONT
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State | CA
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Zip | 94538-2268
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Country | US
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Telephone | 510-859-4178
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Fax | 510-443-1090
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Provider Business Mailing Address
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Address Line | 2738 10TH ST
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City | BERKELEY
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State | CA
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Zip | 94710-2635
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Country | US
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Telephone | 619-206-5662
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Fax | 510-443-1090
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Authorized Official
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Title or Position | TECHNICAL DIRECTOR
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Name | MR. DAVIER DAVON MAYES
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Credential | RVS
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Telephone | 510-859-4178
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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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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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License Number State |
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