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General NPI Number Information
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NPI Number | 1013389808
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Entity Type | Organization
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Legal Business Name | RECOVERY LABORATORIES LLC
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 2422 ARBUCKLE CT SUITE A
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City | DALLAS
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State | TX
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Zip | 75229-4506
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Country | US
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Telephone | 844-246-0912
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Fax | 888-509-0898
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Provider Business Mailing Address
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Address Line | 2422 ARBUCKLE CT SUITE A
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City | DALLAS
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State | TX
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Zip | 75229-4506
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Country | US
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Telephone | 844-246-0912
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Fax | 888-509-0898
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | KEVIN MCQUAID
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Credential | M.D
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Telephone | 844-246-0912
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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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