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General NPI Number Information
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NPI Number | 1134588817
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Entity Type | Organization
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Legal Business Name | GENE TOX WORLDWIDE LLC
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 136 RIDGE RD SUITE 1A
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City | LYNDHURST
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State | NJ
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Zip | 07071-1269
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Country | US
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Telephone | 201-933-1078
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Fax |
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Provider Business Mailing Address
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Address Line | 136 RIDGE RD STE 1A
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City | LYNDHURST
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State | NJ
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Zip | 07071-1269
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Country | US
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Telephone | 201-844-9910
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Fax | 844-308-4598
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Authorized Official
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Title or Position | CEO
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Name | CHARLES GENTILE
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Credential |
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Telephone | 201-844-9910
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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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