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General NPI Number Information
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NPI Number | 1104630532
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Entity Type | Organization
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Legal Business Name | GLOBAL DIAGNOSTICS TECHNOLOGIES LLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 5049 EDWARDS RANCH RD FL 4
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City | FORT WORTH
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State | TX
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Zip | 76109-4213
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Country | US
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Telephone | 310-897-2667
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Fax |
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Provider Business Mailing Address
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Address Line | 5049 EDWARDS RANCH RD FL 4
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City | FORT WORTH
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State | TX
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Zip | 76109-4213
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Country | US
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Telephone | 310-897-2667
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | MR. THOMAS BARROWS
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Credential | MD
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Telephone | 972-999-6861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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