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General NPI Number Information
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NPI Number | 1083207708
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Entity Type | Organization
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Legal Business Name | HITECH ANALYTICAL AND DIAGNOSTIC SOLUTIONS
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 17B FIRSTFIELD RD STE 207
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1784
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Country | US
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Telephone | 301-770-2448
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Fax |
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Provider Business Mailing Address
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Address Line | 409 NATURE LN
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City | ROCKVILLE
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State | MD
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Zip | 20850-7767
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Country | US
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Telephone | 301-922-3029
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REYAZ KANGO
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Credential | PH.D
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Telephone | 301-922-3029
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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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