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General NPI Number Information
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NPI Number | 1851608939
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Entity Type | Organization
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Legal Business Name | SONOCARDIO FLORIDA. CORP
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 13790 NW 4TH ST SUITE 110
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City | SUNRISE
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State | FL
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Zip | 33325-6216
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Country | US
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Telephone | 954-348-7058
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 WESTON RD STE 117
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City | WESTON
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State | FL
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Zip | 33326-1915
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TECHNICAL DIRECTOR
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Name | MS. ZULMA TORRES
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Credential | RVT, RDMS
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Telephone | 954-348-7058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 71577
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 71577
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License Number State | MD
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