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General NPI Number Information
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NPI Number | 1841561214
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Entity Type | Organization
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Legal Business Name | MEDX ULTRASOUND, INC.
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 225 ROCKLAND ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-3136
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Country | US
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Telephone | 508-999-4021
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Fax |
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Provider Business Mailing Address
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Address Line | 225 ROCKLAND ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-3136
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Country | US
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Telephone | 508-999-4021
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Fax |
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Authorized Official
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Title or Position | COO
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Name | NICHOLAS K. PSICHOPAIDAS
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Credential |
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Telephone | 508-999-4021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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