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General NPI Number Information
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NPI Number | 1003810375
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Entity Type | Organization
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Legal Business Name | SPECTRA LABORATORIES INC
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 525 SYCAMORE DRIVE
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City | MILPITAS
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State | CA
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Zip | 95035-7429
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Country | US
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Telephone | 408-526-3200
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Fax | 408-526-3747
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Provider Business Mailing Address
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Address Line | PO BOX 360790
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City | MILPITAS
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State | CA
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Zip | 95036-0790
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Country | US
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Telephone | 408-526-3200
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Fax | 408-526-3747
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Authorized Official
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Title or Position | GENERAL MANAGER VP OPERATIONS
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Name | MR. CURTIS JOHNSON
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Credential |
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Telephone | 408-526-3200
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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 | CLF3259
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License Number State | CA
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