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General NPI Number Information
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NPI Number | 1083243323
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Entity Type | Organization
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Legal Business Name | VALIDITY LABORATORY SERVICES LLC
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2177 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34996-3305
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Country | US
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Telephone | 772-230-4260
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Fax | 772-210-5313
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Provider Business Mailing Address
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Address Line | 2177 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34996-3305
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Country | US
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Telephone | 772-230-4260
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Fax | 772-210-5313
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHERRY PIASECKI
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Credential | APRN
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Telephone | 772-215-9027
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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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