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General NPI Number Information
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NPI Number | 1033281126
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Entity Type | Organization
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Legal Business Name | NORTH SHORE MEDICAL LABS INC.
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 463 WILLIS AVE
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City | WILLISTON PARK
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State | NY
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Zip | 11596-1724
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Country | US
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Telephone | 516-739-5227
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Fax | 516-739-5244
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Provider Business Mailing Address
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Address Line | 463 WILLIS AVE
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City | WILLISTON PARK
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State | NY
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Zip | 11596-1724
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Country | US
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Telephone | 516-739-5227
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Fax | 516-739-5244
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Authorized Official
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Title or Position | CEO
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Name | MR. ABID SHEIKH
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Credential |
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Telephone | 516-739-5227
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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 | 4349
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License Number State | NY
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