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General NPI Number Information
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NPI Number | 1881879153
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Entity Type | Organization
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Legal Business Name | CAROLINA ULTRASOUND SERVICES LLC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 911 WINGFIELD CT
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City | COLUMBIA
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State | SC
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Zip | 29212-8277
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Country | US
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Telephone | 803-240-4580
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Fax | 803-781-1749
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Provider Business Mailing Address
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Address Line | 911 WINGFIELD CT
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City | COLUMBIA
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State | SC
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Zip | 29212-8277
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Country | US
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Telephone | 803-240-4580
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Fax | 803-781-1749
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Authorized Official
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Title or Position | BUSINESS OWNER SONOGRAPHER
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Name | MRS. AMY W CAMPBELL
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Credential | RDCS
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Telephone | 803-240-4580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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