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General NPI Number Information
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NPI Number | 1144177189
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Entity Type | Organization
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Legal Business Name | SNATRIX LAB LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 3717 W ELGIN ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-2157
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Country | US
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Telephone | 918-641-4066
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Fax |
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Provider Business Mailing Address
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Address Line | 3717 W ELGIN ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-2157
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALI KHAN
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Credential |
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Telephone | 918-641-4066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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