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General NPI Number Information
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NPI Number | 1093697757
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Entity Type | Organization
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Legal Business Name | KAN-DI-KI, LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 175 TECHNOLOGY DR STE 100
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City | IRVINE
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State | CA
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Zip | 92618-2473
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Country | US
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Telephone | 657-297-0320
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Fax | 602-343-5856
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Provider Business Mailing Address
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Address Line | 930 RIDGEBROOK RD FL 3
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City | SPARKS GLENCOE
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State | MD
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Zip | 21152-9481
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Country | US
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Telephone | 443-662-4101
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Fax | 602-343-5856
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Authorized Official
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Title or Position | CFO
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Name | BRIAN CUOMO
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Credential |
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Telephone | 800-786-8015
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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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