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General NPI Number Information
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NPI Number | 1134885155
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Entity Type | Organization
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Legal Business Name | IN & OUT LAB SCREENINGS LTD LIABILTY COMPANY
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Dates
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Enumeration Date | 11/14/2021
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 1900 LEDO RD STE B
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City | ALBANY
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State | GA
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Zip | 31707-1813
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Country | US
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Telephone | 229-903-5272
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Fax | 229-808-1970
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Provider Business Mailing Address
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Address Line | 1900 LEDO RD STE B
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City | ALBANY
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State | GA
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Zip | 31707-1813
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Country | US
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Telephone | 222-903-5272
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Fax | 229-808-1970
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | MONIERICA THOMAS
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Credential |
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Telephone | 229-903-5272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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