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General NPI Number Information
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NPI Number | 1093053571
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Entity Type | Organization
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Legal Business Name | ASCENDA BIOSCIENCES, LLC
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 2001 WESTSIDE PKWY STE 240
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City | ALPHARETTA
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State | GA
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Zip | 30004
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Country | US
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Telephone | 678-580-0613
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Fax | 470-375-3701
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Provider Business Mailing Address
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Address Line | PO BOX 589
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City | SOUDERTON
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State | PA
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Zip | 18964-0589
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Country | US
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Telephone | 678-580-0613
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Fax | 678-580-0613
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | KAREN C STOUT
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Credential |
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Telephone | 678-580-0613
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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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