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General NPI Number Information
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NPI Number | 1114232006
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Entity Type | Organization
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Legal Business Name | ARISTA MOLECULAR, INC.
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 2075 CORTE DEL NOGAL SUITE G
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City | CARLSBAD
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State | CA
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Zip | 92011-1414
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Country | US
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Telephone | 877-554-5004
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Fax | 858-408-3480
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Provider Business Mailing Address
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Address Line | 2075 CORTE DEL NOGAL SUITE G
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City | CARLSBAD
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State | CA
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Zip | 92011-1414
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Country | US
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Telephone | 877-554-5004
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Fax | 858-408-3480
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Authorized Official
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Title or Position | VP, GENERAL MANAGER
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Name | MR. GEOFFREY E. MATCALF
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Credential |
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Telephone | 760-795-5121
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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 | CLF338586
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License Number State | CA
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Taxonomy #2
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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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