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General NPI Number Information
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NPI Number | 1033421490
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Entity Type | Organization
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Legal Business Name | ACCATUR DIAGNOSTICS II LLC
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 18102 SKY PARK CIR SUITE F
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City | IRVINE
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State | CA
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Zip | 92614-6531
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Country | US
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Telephone | 626-440-1340
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Fax | 626-403-6050
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Provider Business Mailing Address
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Address Line | PO BOX 60847
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City | PASADENA
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State | CA
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Zip | 91116-6847
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Country | US
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Telephone | 626-440-1340
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Fax | 626-403-6050
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. ELLEN BATZEL
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Credential | J.D., LL.M
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Telephone | 626-440-1340
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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 | CLF00349069
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License Number State | CA
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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 | 05D0895548
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License Number State | CA
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