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General NPI Number Information
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NPI Number | 1023479623
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Entity Type | Organization
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Legal Business Name | ALPHA DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 204 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-5115
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Country | US
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Telephone | 385-444-7979
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Fax | 336-709-5513
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Provider Business Mailing Address
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Address Line | 204 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-5115
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Country | US
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Telephone | 385-444-7979
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Fax | 336-709-5513
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Authorized Official
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Title or Position | OWNER
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Name | DAWSON SMITH
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Credential |
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Telephone | 904-586-6973
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 34D2108806
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License Number State | NC
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