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General NPI Number Information
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NPI Number | 1104316157
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Entity Type | Organization
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Legal Business Name | ARRAYIT CORPORATION
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 927 THOMPSON PL
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City | SUNNYVALE
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State | CA
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Zip | 94085
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Country | US
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Telephone | 408-744-1331
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Fax | 408-744-1711
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Provider Business Mailing Address
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Address Line | 927 THOMPSON PL
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City | SUNNYVALE
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State | CA
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Zip | 94085-4518
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Country | US
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Telephone | 408-744-1331
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Fax | 408-744-1711
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Authorized Official
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Title or Position | CEO
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Name | MRS. RENE ANN SCHENA
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Credential |
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Telephone | 408-744-1331
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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 | CDF00349880
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License Number State | CA
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