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General NPI Number Information
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NPI Number | 1124779988
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Entity Type | Organization
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Legal Business Name | STERYLL LABS INC.
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 2040 W DEVON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-2128
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Country | US
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Telephone | 647-895-9545
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Fax |
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Provider Business Mailing Address
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Address Line | 1684 FOLTZ DR
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-6956
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Country | US
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Telephone | 416-801-9565
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ERUM SYEDA HYDER
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Credential | BS
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Telephone | 416-801-9565
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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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