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General NPI Number Information
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NPI Number | 1013356211
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Entity Type | Organization
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Legal Business Name | MOLECULERA BIOSCIENCES, INC
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 755 RESEARCH PKWY SUITE 410
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-3629
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Country | US
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Telephone | 405-239-5250
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Fax | 405-239-5255
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Provider Business Mailing Address
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Address Line | 755 RESEARCH PKWY SUITE 410
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-3629
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Country | US
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Telephone | 405-239-5250
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Fax | 405-239-5255
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | CRAIG D SHIMASAKI
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Credential | PHD
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Telephone | 405-239-5250
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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 | 37D2052130
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License Number State | OK
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