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General NPI Number Information
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NPI Number | 1093111312
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Entity Type | Organization
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Legal Business Name | NEW AMSTERDAM GENOMICS, INC.
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 114 E 1ST ST APT 7
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City | NEW YORK
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State | NY
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Zip | 10009-7925
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Country | US
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Telephone | 347-901-9362
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Fax |
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Provider Business Mailing Address
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Address Line | 114 E 1ST ST APT 7
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City | NEW YORK
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State | NY
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Zip | 10009-7925
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ANDREW MILLS
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Credential | PH.D.
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Telephone | 347-901-9362
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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 | 22D2084314
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License Number State | MA
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