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General NPI Number Information
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NPI Number | 1013525286
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Entity Type | Organization
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Legal Business Name | AMERICAN PREMIER LABS
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 670 W ARAPAHO RD STE 11A
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City | RICHARDSON
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State | TX
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Zip | 75080-4213
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Country | US
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Telephone | 972-807-8500
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Fax | 972-807-8600
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Provider Business Mailing Address
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Address Line | 670 W ARAPAHO RD STE 11A
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City | RICHARDSON
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State | TX
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Zip | 75080-4213
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Country | US
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Telephone | 972-807-8500
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Fax | 972-807-8600
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | PRISCILLA RENU TIGULLA
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Credential |
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Telephone | 972-807-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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Taxonomy #2
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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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