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General NPI Number Information
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NPI Number | 1093979445
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Entity Type | Organization
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Legal Business Name | LMN ENTERPRISES, LLC
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 3640 OCEAN RANCH BLVD
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City | OCEANSIDE
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State | CA
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Zip | 92056-2669
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Country | US
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Telephone | 760-433-3315
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Fax | 760-433-6110
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Provider Business Mailing Address
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Address Line | 3640 OCEAN RANCH BLVD
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City | OCEANSIDE
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State | CA
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Zip | 92056-2669
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Country | US
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Telephone | 760-433-3315
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Fax | 760-433-6110
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Authorized Official
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Title or Position | CEO
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Name | LEANNE MARIE MIX
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Credential |
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Telephone | 760-433-3315
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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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