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General NPI Number Information
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NPI Number | 1124050380
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Entity Type | Organization
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Legal Business Name | ADJ CORPORATION
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 10200 PIONEER BLVD SUITE 500
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-6000
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Country | US
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Telephone | 562-906-5227
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Fax | 562-906-6450
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Provider Business Mailing Address
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Address Line | PO BOX 2339
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-0339
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Country | US
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Telephone | 562-906-5227
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Fax | 562-906-6450
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAN ENDOSO
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Credential |
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Telephone | 562-906-5227
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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 | CLF 10371
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License Number State | CA
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