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General NPI Number Information
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NPI Number | 1003598954
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Entity Type | Organization
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Legal Business Name | VOLTALUX ELECTROLOGY
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 1941 JACKSON ST # 23
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City | OAKLAND
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State | CA
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Zip | 94612-4600
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Country | US
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Telephone | 510-214-6436
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Fax |
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Provider Business Mailing Address
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Address Line | 741 5TH ST UPPR
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City | OAKLAND
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State | CA
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Zip | 94607-3019
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Country | US
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Telephone | 510-393-3532
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | MS. MEGHAN MAE KRAUSE
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Credential | LE
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Telephone | 510-393-3532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246QH0600X
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Taxonomy Name | Histology Specialist/Technologist
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License Number |
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License Number State |
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