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General NPI Number Information
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NPI Number | 1992944078
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Entity Type | Organization
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Legal Business Name | SONOTEC IMAGING INC.
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 1 RANDALL SQ SUITE 307
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City | PROVIDENCE
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State | RI
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Zip | 02904-2709
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Country | US
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Telephone | 508-567-4241
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Fax | 508-567-4241
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Provider Business Mailing Address
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Address Line | 92 HUMMINGBIRD LN
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City | SWANSEA
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State | MA
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Zip | 02777-4331
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Country | US
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Telephone | 508-567-4241
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Fax |
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Authorized Official
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Title or Position | OWNER TECHNICAL DIRECTOR
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Name | MRS. MELISSA ANN VIEIRA
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Credential | RCS
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Telephone | 774-644-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 65657
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License Number State | MA
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