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General NPI Number Information
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NPI Number | 1114353000
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Entity Type | Organization
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Legal Business Name | NORTH CENTRAL CLINICAL LABORATORY, INC.
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 2654 SW 32ND PL SUITE 100 B
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City | OCALA
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State | FL
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Zip | 34471-7847
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Country | US
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Telephone | 352-854-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 2654 SW 32ND PL SUITE 100 B
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City | OCALA
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State | FL
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Zip | 34471-7847
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Country | US
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Telephone | 352-854-7444
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SADHANA J PANCHAL
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Credential |
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Telephone | 352-854-7444
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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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