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General NPI Number Information
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NPI Number | 1033629696
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Entity Type | Organization
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Legal Business Name | NEXTGEN LABORATORIES, INC.
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 2020 20TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301
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Country | US
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Telephone | 661-800-4900
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Fax | 661-846-2696
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Provider Business Mailing Address
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Address Line | 4229 BIRCH ST STE 130
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1960
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Country | US
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Telephone | 661-800-4900
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Fax | 661-846-2696
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH ANTHONY DEL SIGNORE
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Credential |
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Telephone | 661-800-4900
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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 | CLR349814
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License Number State | CA
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