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General NPI Number Information
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NPI Number | 1881054484
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Entity Type | Organization
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Legal Business Name | SONEX ULTRASOUND INC
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 02/25/2016
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Provider Practice Location Address
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Address Line | 11054 RENNARD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19116-2618
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Country | US
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Telephone | 215-698-6980
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Fax |
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Provider Business Mailing Address
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Address Line | 1683 SILVER BIRCH RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-7754
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Country | US
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Telephone | 267-239-6506
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH IKON
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Credential | RDMS, RVT
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Telephone | 267-239-6506
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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 | 151817
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License Number State | PA
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