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General NPI Number Information
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NPI Number | 1023368933
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Entity Type | Organization
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Legal Business Name | DOC'S LAB SERVICES, LLC
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1919 OAKWELL FARMS PKWY STE 180
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1777
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Country | US
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Telephone | 210-579-0560
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4193
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City | MCALLEN
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State | TX
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Zip | 78502-4193
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Country | US
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Telephone | 956-510-8898
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Fax | 956-510-8852
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Authorized Official
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Title or Position | MANAGER
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Name | MARIO SEPULVEDA
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Credential |
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Telephone | 210-579-0561
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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 | 45D2045368
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License Number State | TX
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