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General NPI Number Information
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NPI Number | 1114868619
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Entity Type | Organization
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Legal Business Name | TECH VERGE LABS LLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 1712 19TH ST STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4326
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Country | US
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Telephone | 661-301-9257
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 19TH ST STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4326
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Country | US
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Telephone | 661-301-9257
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | AVINASH REDDY PADKANTI
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Credential |
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Telephone | 661-301-9257
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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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