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General NPI Number Information
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NPI Number | 1881862399
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL MEDICAL ULTRASONICS INC.
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 200 CARRIAGE DR
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City | BECKLEY
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State | WV
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Zip | 25801-2876
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Country | US
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Telephone | 304-252-0600
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Fax | 304-252-0646
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Provider Business Mailing Address
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Address Line | 200 CARRIAGE DR
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City | BECKLEY
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State | WV
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Zip | 25801-2876
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Country | US
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Telephone | 304-252-0600
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Fax | 304-252-0646
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Authorized Official
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Title or Position | MANAGER
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Name | ANGEL ROSAS
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Credential | MD
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Telephone | 304-252-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 08981
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License Number State | WV
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