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General NPI Number Information
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NPI Number | 1053227835
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Entity Type | Organization
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Legal Business Name | ILERI-LIV CARE SOLUTIONS
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 119 MCLAWS ST E
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-3923
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Country | US
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Telephone | 703-855-5935
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Fax |
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Provider Business Mailing Address
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Address Line | 6003 RIDDLE WALK
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2773
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Country | US
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Telephone | 703-855-5935
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Fax |
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | SHUKURAT BARUWA
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Credential | MLS (MS, ASCP)
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Telephone | 703-855-5935
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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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