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General NPI Number Information
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NPI Number | 1013632496
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Entity Type | Organization
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Legal Business Name | ANALYTIC GENETICS, L.L.C.
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 3382 CAPITAL CIR NE
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City | TALLAHASSEE
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State | FL
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Zip | 32308-8702
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Country | US
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Telephone | 850-386-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 3382 CAPITAL CIR NE
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City | TALLAHASSEE
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State | FL
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Zip | 32308-8702
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Country | US
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Telephone | 850-386-1145
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAITLIN WALSH
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Credential |
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Telephone | 850-339-3745
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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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