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General NPI Number Information
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NPI Number | 1124486402
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Entity Type | Organization
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Legal Business Name | SATYA LABS LLC
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 1101 PROFESSIONAL BLVD STE. 210 B
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City | EVANSVILLE
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State | IN
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Zip | 47714-8016
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Country | US
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Telephone | 812-214-4099
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Fax | 812-437-1315
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Provider Business Mailing Address
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Address Line | 1101 PROFESSIONAL BLVD STE. 210 B
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City | EVANSVILLE
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State | IN
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Zip | 47714-8016
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Country | US
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Telephone | 812-214-4099
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Fax | 812-437-1315
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | LINDA HUNTER
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Credential |
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Telephone | 812-477-7246
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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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