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General NPI Number Information
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NPI Number | 1073961108
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Entity Type | Organization
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Legal Business Name | RDX BIOSCIENCE, INC
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 629 SPRINGFIELD RD
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City | KENILWORTH
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State | NJ
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Zip | 07033-1079
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Country | US
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Telephone | 844-762-9522
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Fax |
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Provider Business Mailing Address
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Address Line | 629 SPRINGFIELD RD
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City | KENILWORTH
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State | NJ
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Zip | 07033-1079
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Country | US
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Telephone | 844-762-9522
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERIC LEYKIN
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Credential |
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Telephone | 844-762-9522
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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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