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General NPI Number Information
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NPI Number | 1083928576
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Entity Type | Organization
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Legal Business Name | ASPEN TOXICOLOGY, LLC
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 1524 BROOKHOLLOW DR SUITE 7
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City | SANTA ANA
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State | CA
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Zip | 92705-5426
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Country | US
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Telephone | 949-608-1724
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Fax | 949-743-5862
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Provider Business Mailing Address
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Address Line | 1524 BROOKHOLLOW DRIVE SUITE 7
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City | SANTA ANA
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State | CA
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Zip | 92705
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Country | US
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Telephone | 949-608-1724
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Fax | 949-743-5862
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Authorized Official
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Title or Position | CIO
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Name | MR. JOHN E MUTTER
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Credential |
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Telephone | 949-608-1724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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