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General NPI Number Information
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NPI Number | 1013282193
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Entity Type | Organization
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Legal Business Name | SPINNAKERS LLC
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 18118 CHESTERFIELD AIRPORT RD SUITE#N
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1124
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Country | US
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Telephone | 314-757-7244
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Fax | 757-215-0779
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Provider Business Mailing Address
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Address Line | 18118 CHESTERFIELD AIRPORT ROAD, SUITE#N
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1124
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Country | US
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Telephone | 314-757-7244
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Fax | 757-215-0779
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Authorized Official
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Title or Position | CEO
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Name | MR. ZIA IQBAL
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Credential |
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Telephone | 314-757-7244
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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 |
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License Number State |
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