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General NPI Number Information
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NPI Number | 1104572668
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Entity Type | Organization
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Legal Business Name | PURE DIAGNOSTICS
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 200 W MARKET ST
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City | WILMINGTON
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State | DE
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Zip | 19804-3152
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Country | US
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Telephone | 484-466-9379
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Fax |
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Provider Business Mailing Address
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Address Line | 327 W 21ST ST
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City | CHESTER
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State | PA
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Zip | 19013-4917
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Country | US
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Telephone | 267-259-8049
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA WRIGHT
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Credential | RN
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Telephone | 302-468-6611
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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